42 CFR 512.500
§ 512.500 Basis and scope of subpart.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 512.500, § 512.500 Basis and scope of subpart, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/208235
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Full text
(a) Basis. This subpart implements the test of the Transforming Episode Accountability Model (TEAM) under section 1115A(b) of the Act. Except as specifically noted in this part, the regulations under this subpart do not affect the applicability of other provisions affecting providers and suppliers under Medicare FFS, including the applicability of provisions regarding payment, coverage, and program integrity.
(b) Scope. This subpart sets forth the following:
(1) Participation in TEAM.
(2) Scope of episodes being tested.
(3) Pricing methodology.
(4) Quality measures and quality reporting requirements.
(5) Reconciliation and review processes.
(6) Data sharing and other requirements
(7) Financial arrangements and beneficiary incentives.
(8) Medicare program waivers
(9) Beneficiary protections.
(10) Cooperation in model evaluation and monitoring.
(11) Audits and record retention.
(12) Rights in data and intellectual property.
(13) Monitoring and compliance.
(14) Remedial action.
(15) Limitations on review.
(16) Miscellaneous provisions on bankruptcy and other notifications.
(17) Model termination by CMS.
(18) [Reserved]
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.