{"data":{"id":"us/42-cfr-512.345","jurisdiction":"us","citation":"42 CFR 512.345","heading":"Payments subject to the Clinician HDPA.","body":"CMS adjusts the amount otherwise paid under Medicare Part B with respect to MCP claims on claim lines with CPT codes 90965 and 90966 by the Clinician HDPA when the claim is submitted by a Managing Clinician who is an ETC Participant with a claim service date during a calendar year subject to adjustment as described in § 512.350 and the beneficiary is at least 18 years old before the first day of the month.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 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"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"dca202590735995d5144fe1d7548210e1893390a747a8ccbe0b3f70dd0689e76","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-512.340","next":"us/42-cfr-512.350"},"notice":"GroundRules: Original legal text. Not legal advice."}