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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 414.1410: Advanced APM determination.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER B—MEDICARE PROGRAM
  4. PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
  5. Subpart O—Merit-Based Incentive Payment System and Alternative Payment Model Incentive

(a) General. An APM is an Advanced APM for a payment year if CMS determines that it meets the criteria in § 414.1415 during the QP Performance Period.

(b) Advanced APM determination process. CMS determines Advanced APMs in the following manner:

(1) Advanced APM determination. (i) No later than January 1, 2017, CMS will post on its Web site a list of all Advanced APMs for the first QP Performance Period.

(ii) CMS updates the Advanced APM list on its Web site at intervals no less than annually.

(iii) CMS will include notice of whether a new APM is an Advanced APM in the first public notice of the new APM.

(2) [Reserved]

Collected 2026-08-27T02:26:11Z. Source file · JSON

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