Federal (United States) · Regulations
Subpart E — Transforming Episode Accountability Model (TEAM)
36 sections
36 sections
- 42 C.F.R. § 512.500Basis and scope of subpart.
- 42 C.F.R. § 512.505Definitions.
- 42 C.F.R. § 512.508Mandatory participation.
- 42 C.F.R. § 512.510Voluntary opt-in participation.
- 42 C.F.R. § 512.515Geographic areas.
- 42 C.F.R. § 512.520Participation tracks.
- 42 C.F.R. § 512.522APM options.
- 42 C.F.R. § 512.525Episodes.
- 42 C.F.R. § 512.535Beneficiary inclusion criteria.
- 42 C.F.R. § 512.537Determination of the episode.
- 42 C.F.R. § 512.540Determination of preliminary target prices.
- 42 C.F.R. § 512.545Determination of reconciliation target prices.
- 42 C.F.R. § 512.547Quality measures, composite quality score, and display of quality measures.
- 42 C.F.R. § 512.550Reconciliation process and determination of the reconciliation payment or repayment amount.
- 42 C.F.R. § 512.552Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- 42 C.F.R. § 512.555Proration of payments for services that extend beyond an episode.
- 42 C.F.R. § 512.560Appeals process.
- 42 C.F.R. § 512.561Reconsideration review processes.
- 42 C.F.R. § 512.562Data sharing with TEAM participants.
- 42 C.F.R. § 512.563Health data reporting.
- 42 C.F.R. § 512.564Referral to primary care services.
- 42 C.F.R. § 512.565Sharing arrangements.
- 42 C.F.R. § 512.568Distribution arrangements.
- 42 C.F.R. § 512.570Downstream distribution arrangements.
- 42 C.F.R. § 512.575TEAM beneficiary incentives.
- 42 C.F.R. § 512.576Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
- 42 C.F.R. § 512.580TEAM Medicare Program Waivers.
- 42 C.F.R. § 512.582Beneficiary protections.
- 42 C.F.R. § 512.584Cooperation in model evaluation and monitoring.
- 42 C.F.R. § 512.586Audits and record retention.
- 42 C.F.R. § 512.588Rights in data and intellectual property.
- 42 C.F.R. § 512.590Monitoring and compliance.
- 42 C.F.R. § 512.592Remedial action.
- 42 C.F.R. § 512.594Limitations on review.
- 42 C.F.R. § 512.595Bankruptcy and other notifications.
- 42 C.F.R. § 512.596Termination of TEAM or TEAM participant from model by CMS.