42 CFR 512.245
§ 512.245 Included RO episodes.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 512.245, § 512.245 Included RO episodes, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/208176
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Full text
(a) General. Any RO episode that begins on or after the first day of the model performance period and ends on or before the last day of the model performance period is included in the model performance period.
(b) Death or election of hospice benefit. An RO episode is included in, and paid for under, the RO Model if the RO beneficiary dies after the TC of an RO episode has been initiated, or if the RO beneficiary elects the Medicare hospice benefit after the initial treatment planning service, provided that the TC is initiated within 28 days following the initial treatment planning service. Each RO participant will receive both installments of the episode payment under such circumstances, regardless of whether the RO beneficiary dies or elects the Medicare hospice benefit before the relevant course of RT treatment has ended.
(c) Clean periods. An RO episode must not be initiated for the same RO beneficiary during a clean period.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.