Electronic Code of Federal Regulations
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e-CFR data is current as of January 25, 2021 |
Title 42 → Chapter IV → Subchapter H → Part 510 → Subpart B → §510.100 |
Title 42: Public Health
PART 510—COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL
Subpart B—Comprehensive Care for Joint Replacement Program Participants
§510.100 Episodes being tested.
(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.