42 CFR §510.100
- (a)Initiation of an episode. An episode is initiated when, with respect to a beneficiary described in § 510.205—
- (1)The participant hospital admits the beneficiary for an anchor hospitalization; or
- (2)On or after July 4, 2021, an anchor procedure is performed at the participant hospital.
- (b)Exclusions. A hospital is excluded from being a participant hospital, but only so long as any of the following conditions apply:
- (1)The hospital is an episode initiator for an LEJR episode in the risk-bearing period of Models 2 or 4 of BPCI.
- (2)The hospital is participating in Model 1 of BPCI.
- (3)These exclusions cease to apply as of the date that the hospital no longer meets any of the conditions specified in this paragraph.