GroundRules
42 CFR 512.300: Basis and scope.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER H—HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS
- PART 512—STANDARD PROVISIONS FOR MANDATORY INNOVATION CENTER MODELS AND SPECIFIC PROVISIONS FOR CERTAIN MODELS
- Subpart C—ESRD Treatment Choices Model
(a) Basis. This subpart implements the test of the End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model under section 1115A(b) of the Act. Except as specifically noted in this subpart, the regulations under this subpart must not be construed to affect the applicability of other provisions affecting providers and suppliers under Medicare FFS, including the applicability of provisions regarding payment, coverage, or program integrity.
(b) Scope. This subpart sets forth the following:
(1) The duration of the ETC Model.
(2) The method for selecting ETC Participants.
(3) The schedule and methodologies for the Home Dialysis Payment Adjustment and Performance Payment Adjustment.
(4) The methodology for ETC Participant performance assessment for purposes of the Performance Payment Adjustment, including beneficiary attribution, benchmarking and scoring, and calculating the Modality Performance Score.
(5) Monitoring and evaluation, including quality measure reporting.
(6) Medicare payment waivers.
Collected 2026-08-27T02:26:11Z. Source file · JSON