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FEDERAL · 42 CFR

Part 510 — Comprehensive Care for Joint Replacement Model

31 sections · Title 42: Public Health

§ 510.1Basis and scope.
§ 510.2Definitions.
§ 510.100Episodes being tested.
§ 510.105Geographic areas.
§ 510.110Access to records and retention.
§ 510.115Voluntary participation election.
§ 510.120CJR participant hospital CEHRT track requirements.
§ 510.200Time periods, included and excluded services, and attribution.
§ 510.205Beneficiary inclusion criteria.
§ 510.210Determination of the episode.
§ 510.300Determination of episode quality-adjusted target prices.
§ 510.301Determination of reconciliation target prices.
§ 510.305Determination of the NPRA and reconciliation process.
§ 510.310Appeals process.
§ 510.315Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
§ 510.320Treatment of incentive programs or add-on payments under existing Medicare payment systems.
§ 510.325Allocation of payments for services that straddle the episode.
§ 510.400Quality measures and reporting.
§ 510.405Beneficiary choice and beneficiary notification.
§ 510.410Compliance enforcement.
§ 510.500Sharing arrangements under the CJR model.
§ 510.505Distribution arrangements.
§ 510.506Downstream distribution arrangements.
§ 510.510Enforcement authority.
§ 510.515Beneficiary incentives under the CJR model.
§ 510.600Waiver of direct supervision requirement for certain post-discharge home visits.
§ 510.605Waiver of certain telehealth requirements.
§ 510.610Waiver of SNF 3-day rule.
§ 510.615Waiver of certain post-operative billing restrictions.
§ 510.620Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
§ 510.900Termination of the CJR model.