42 CFR 510.620
§ 510.620 Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 510.620, § 510.620 Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/208147
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Full text
(a) Waiver of deductible and coinsurance. CMS waives the requirements of sections 1813 and 1833(a) of the Act for Medicare Part A and Part B payment systems only to the extent necessary to make reconciliation payments or receive repayments based on the NPRA that reflect the episode payment methodology under the final payment model for CJR participant hospitals.
(b) Reconciliation payments or repayments. Reconciliation payments or repayments do not affect the beneficiary cost-sharing amounts for the Part A and Part B services provided under the CJR model.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.