PPA Amounts and schedules.

CMS adjusts the payments described in § 512.375 based on the ETC Participant's MPS calculated as described in § 512.370(d) according to the following amounts and schedules in Table 1 and Table 2 to § 512.380. Table 1 to § 512.380—Facility PPA Amounts and Schedule MPS Performance payment adjustment period 1 and 2 (%) 3 and 4 (%) 5 and 6 (%) 7 (%) Facility Performance Payment Adjustment ≤6 +4.0 +5.0 +6.0 +7.0 ≤5 +2.0 +2.5 +3.0 +3.5 ≤3.5 0 0 0 0 ≤2 −2.5 −3.0 −3.5 −4.5 ≤.5 −5.0 −6.0 −7.0 −9.0 Table 2 to § 512.380—Clinician PPA Amounts and Schedule MPS Performance payment adjustment period 1 and 2 (%) 3 and 4 (%) 5 and 6 (%) 7 (%) Clinician Performance Payment Adjustment ≤6 +4.0 +5.0 +6.0 +7.0 ≤5 +2.0 +2.5 +3.0 +3.5 ≤3.5 0 0 0 0 ≤2 −2.5 −3.0 −3.5 −4.0 ≤.5 −5.0 −6.0 −7.0 −8.0 [85 FR 61362, Sept. 29, 2020, as amended at 90 FR 53142, Nov. 24, 2025]