42 CFR Part 510 — Comprehensive Care for Joint Replacement Model
Subpart A — General Provisions
Subpart B — Comprehensive Care for Joint Replacement Program Participants
Subpart C — Scope of Episodes
Subpart D — Pricing and Payment
- § 510.300— Determination of episode quality-adjusted target prices.
- § 510.301— Determination of reconciliation target prices.
- § 510.305— Determination of the NPRA and reconciliation process.
- § 510.310— Appeals process.
- § 510.315— Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
- § 510.320— Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- § 510.325— Allocation of payments for services that straddle the episode.
Subpart E — Quality Measures, Beneficiary Protections, and Compliance Enforcement
Subpart F — Financial Arrangements and Beneficiary Incentives
Subpart G — Waivers
- § 510.600— Waiver of direct supervision requirement for certain post-discharge home visits.
- § 510.605— Waiver of certain telehealth requirements.
- § 510.610— Waiver of SNF 3-day rule.
- § 510.615— Waiver of certain post-operative billing restrictions.
- § 510.620— Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.