e-CFR Navigation Aids


Simple Search

Advanced Search

 — Boolean

 — Proximity


Search History

Search Tips


Latest Updates

User Info


Agency List

Incorporation By Reference

eCFR logo

Related Resources

Electronic Code of Federal Regulations

We invite you to try out our new beta eCFR site at https://ecfr.federalregister.gov. We have made big changes to make the eCFR easier to use. Be sure to leave feedback using the Feedback button on the bottom right of each page!

e-CFR data is current as of March 4, 2021


42 CFR--PART 512

View Printed Federal Register page 85 FR 86305 in PDF format.

Amendment(s) published December 29, 2020, in 85 FR 86305

Effective Dates: Dec. 4, 2021

30. Section 512.255 is amended, effective December 4, 2021, by revising paragraph (c)(10) to read as follows:

§512.255   Determination of participant-specific professional episode payment and participant-specific technical episode payment amounts.

*   *   *   *   *

(c) *  *  *

(10) Quality withhold. In accordance with §414.1415(b)(1) of this chapter, CMS withholds 2 percent from each professional episode payment after applying the trend factor, geographic adjustment, case mix and historical experience adjustments, and discount factor to the national base rate starting in PY2. RO participants may earn back this withhold, in part or in full, based on their AQS.

*   *   *   *   *

Need assistance?