42 C.F.R. § 510.100

Episodes being tested.

Last amended: 2021Year: 2026Length: 140 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 510.100 (2026)

(a) Initiation of an episode. An episode is initiated when, with respect to a beneficiary described in § 510.205— (1) The participant hospital admits the beneficiary for an anchor hospitalization; or (2) On or after July 4, 2021, an anchor procedure is performed at the participant hospital. (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. [80 FR 73540, Nov. 24, 2015, as amended at 86 FR 23570, May 3, 2021]
Cross-references to the CFR
510.205
42 C.F.R. § 510.100: Episodes being tested. | Justis AI