42 CFR 512.380 - PPA Amounts and schedules.

Regulations last checked for updates: Feb 10, 2026

Title 42 - Public Health last revised: Feb 02, 2026

View all text of Subpart C [§ 512.300 - § 512.397]

§ 512.380 - 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
	MPS	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
	MPS	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]

authority: 42 U.S.C. 1302,1315a,and

source: 85 FR 61362, Sept. 29, 2020, unless otherwise noted.

cite as: 42 CFR 512.380