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Title 42

Displaying title 42, up to date as of 8/13/2026. Title 42 was last amended 8/13/2026.
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  1. Title 42 —Public Health
  2. Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services
  3. Subchapter H —Health Care Infrastructure and Model Programs
  4. Part 512 —Standard Provisions for Mandatory Innovation Center Models and Specific Provisions for Certain Models
  5. Subpart E   View Full Text
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eCFR Content

The Code of Federal Regulations (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. It is not an official legal edition of the CFR.

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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter HHealth Care Infrastructure and Model Programs505 – 512
Part 512Standard Provisions for Mandatory Innovation Center Models and Specific Provisions for Certain Models512.100 – 512.780
Subpart ETransforming Episode Accountability Model (TEAM)512.500 – 512.596
General512.500 – 512.505
§ 512.500Basis and scope of subpart.
§ 512.505Definitions.
TEAM Participation512.508 – 512.522
§ 512.508Mandatory participation.
§ 512.510Voluntary opt-in participation.
§ 512.515Geographic areas.
§ 512.520Participation tracks.
§ 512.522APM options.
Scope of Episodes Being Tested512.525 – 512.537
§ 512.525Episodes.
§ 512.535Beneficiary inclusion criteria.
§ 512.537Determination of the episode.
Pricing Methodology512.540 – 512.545
§ 512.540Determination of preliminary target prices.
§ 512.545Determination of reconciliation target prices.
Quality Measures and Composite Quality Score512.547
§ 512.547Quality measures, composite quality score, and display of quality measures.
Reconciliation and Review Process512.550 – 512.561
§ 512.550Reconciliation process and determination of the reconciliation payment or repayment amount.
§ 512.552Treatment of incentive programs or add-on payments under existing Medicare payment systems.
§ 512.555Proration of payments for services that extend beyond an episode.
§ 512.560Appeals process.
§ 512.561Reconsideration review processes.
Data Sharing and Other Requirements512.562 – 512.564
§ 512.562Data sharing with TEAM participants.
§ 512.563Health data reporting.
§ 512.564Referral to primary care services.
Financial Arrangements and Beneficiary Incentives512.565 – 512.576
§ 512.565Sharing arrangements.
§ 512.568Distribution arrangements.
§ 512.570Downstream distribution arrangements.
§ 512.575TEAM beneficiary incentives.
§ 512.576Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
Medicare Program Waivers512.580
§ 512.580TEAM Medicare Program Waivers.
General Provisions512.582 – 512.596
§ 512.582Beneficiary protections.
§ 512.584Cooperation in model evaluation and monitoring.
§ 512.586Audits and record retention.
§ 512.588Rights in data and intellectual property.
§ 512.590Monitoring and compliance.
§ 512.592Remedial action.
§ 512.594Limitations on review.
§ 512.595Bankruptcy and other notifications.
§ 512.596Termination of TEAM or TEAM participant from model by CMS.
eCFR Content