RECONCILIATION AND REVIEW PROCESS

• § 512.550 - Reconciliation process and determination of the reconciliation payment or repayment amount.

• § 512.552 - Treatment of incentive programs or add-on payments under existing Medicare payment systems.

• § 512.555 - Proration of payments for services that extend beyond an episode.

• § 512.560 - Appeals process.

• § 512.561 - Reconsideration review processes.

DATA SHARING AND OTHER REQUIREMENTS

• § 512.562 - Data sharing with TEAM participants.

• § 512.563 - Health equity reporting.

• § 512.564 - Referral to primary care services.

FINANCIAL ARRANGEMENTS AND BENEFICIARY INCENTIVES

• § 512.565 - Sharing arrangements.

• § 512.568 - Distribution arrangements.

• § 512.570 - Downstream distribution arrangements.

• § 512.575 - TEAM beneficiary incentives.

• § 512.576 - Application of the CMS-sponsored model arrangements and patient incentives safe harbor.

MEDICARE PROGRAM WAIVERS

• § 512.580 - TEAM Medicare Program Waivers

GENERAL PROVISIONS

• § 512.582 - Beneficiary protections.

• § 512.584 - Cooperation in model evaluation and monitoring.

• § 512.586 - Audits and record retention.

• § 512.588 - Rights in data and intellectual property.

• § 512.590 - Monitoring and compliance.

• § 512.592 - Remedial action.

• § 512.594 - Limitations on review.

• § 512.595 - Bankruptcy and other notifications.

• § 512.596 - Termination of TEAM or TEAM participant from model by CMS.

• § 512.598 - Decarbonization and resilience initiative.

GENERAL

• § 512.500 - Basis and scope of subpart.

• § 512.505 - Definitions.

TEAM PARTICIPATION

• § 512.508 - xxx

• § 512.510 - Voluntary opt-in participation.

• § 512.515 - Geographic areas.

• § 512.520 - Participation tracks.

• § 512.522 - APM options.

SCOPE OF EPISODES BEING TESTED

• § 512.525 - Episodes.

• § 512.535 - Beneficiary inclusion criteria.

• § 512.537 - Determination of the episode.

PRICING METHODOLOGY

• § 512.540 - Determination of preliminary target prices.

• § 512.545 - Determination of reconciliation target prices.

QUALITY MEASURES AND COMPOSITE QUALITY SCORE

• § 512.547 - Quality measures, composite quality score, and display of quality measures.