42 CFR § 510.100
Episodes being tested
June 11, 2020
(a) Initiation of an episode. An episode is initiated when a participant hospital admits a Medicare beneficiary described in §510.205 for an anchor hospitalization.
(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.