| 42:5.0.1.2.15.1 | SUBPART A
| Subpart A - General Provisions Related to Innovation Center Models | |
| 42:5.0.1.2.15.1.55.1 | SECTION 512.100
| 512.100 Basis and scope. | |
| 42:5.0.1.2.15.1.55.2 | SECTION 512.110
| 512.110 Definitions. | |
| 42:5.0.1.2.15.1.55.3 | SECTION 512.120
| 512.120 Beneficiary protections. | |
| 42:5.0.1.2.15.1.55.4 | SECTION 512.130
| 512.130 Cooperation in model evaluation and monitoring. | |
| 42:5.0.1.2.15.1.55.5 | SECTION 512.135
| 512.135 Audits and record retention. | |
| 42:5.0.1.2.15.1.55.6 | SECTION 512.140
| 512.140 Rights in data and intellectual property. | |
| 42:5.0.1.2.15.1.55.7 | SECTION 512.150
| 512.150 Monitoring and compliance. | |
| 42:5.0.1.2.15.1.55.8 | SECTION 512.160
| 512.160 Remedial action. | |
| 42:5.0.1.2.15.1.55.9 | SECTION 512.165
| 512.165 Innovation center model termination by CMS. | |
| 42:5.0.1.2.15.1.55.10 | SECTION 512.170
| 512.170 Limitations on review. | |
| 42:5.0.1.2.15.1.55.11 | SECTION 512.180
| 512.180 Miscellaneous provisions on bankruptcy and other notifications. | |
| 42:5.0.1.2.15.2 | SUBPART B
| Subpart B - Radiation Oncology Model | |
| 42:5.0.1.2.15.2.55 | SUBJGRP 55
| General | |
| 42:5.0.1.2.15.2.55.1 | SECTION 512.200
| 512.200 Basis and scope of subpart. | |
| 42:5.0.1.2.15.2.55.2 | SECTION 512.205
| 512.205 Definitions. | |
| 42:5.0.1.2.15.2.56 | SUBJGRP 56
| RO Model Participation | |
| 42:5.0.1.2.15.2.56.3 | SECTION 512.210
| 512.210 RO participants and geographic areas. | |
| 42:5.0.1.2.15.2.56.4 | SECTION 512.215
| 512.215 Beneficiary population. | |
| 42:5.0.1.2.15.2.56.5 | SECTION 512.217
| 512.217 Identification of individual practitioners. | |
| 42:5.0.1.2.15.2.56.6 | SECTION 512.220
| 512.220 RO participant compliance with RO Model requirements. | |
| 42:5.0.1.2.15.2.56.7 | SECTION 512.225
| 512.225 Beneficiary notification. | |
| 42:5.0.1.2.15.2.57 | SUBJGRP 57
| Scope of RO Episodes Being Tested | |
| 42:5.0.1.2.15.2.57.8 | SECTION 512.230
| 512.230 Criteria for determining cancer types. | |
| 42:5.0.1.2.15.2.57.9 | SECTION 512.235
| 512.235 Included RT services. | |
| 42:5.0.1.2.15.2.57.10 | SECTION 512.240
| 512.240 Included modalities. | |
| 42:5.0.1.2.15.2.57.11 | SECTION 512.245
| 512.245 Included RO episodes. | |
| 42:5.0.1.2.15.2.58 | SUBJGRP 58
| Pricing Methodology | |
| 42:5.0.1.2.15.2.58.12 | SECTION 512.250
| 512.250 Determination of national base rates. | |
| 42:5.0.1.2.15.2.58.13 | SECTION 512.255
| 512.255 Determination of participant-specific professional episode payment and participant-specific technical episode payment amounts. | |
| 42:5.0.1.2.15.2.59 | SUBJGRP 59
| Billing and Payment | |
| 42:5.0.1.2.15.2.59.14 | SECTION 512.260
| 512.260 Billing. | |
| 42:5.0.1.2.15.2.59.15 | SECTION 512.265
| 512.265 Payment. | |
| 42:5.0.1.2.15.2.59.16 | SECTION 512.270
| 512.270 Treatment of add-on payments under existing Medicare payment systems. | |
| 42:5.0.1.2.15.2.60 | SUBJGRP 60
| Data Reporting | |
| 42:5.0.1.2.15.2.60.17 | SECTION 512.275
| 512.275 Quality measures, clinical data, and reporting. | |
| 42:5.0.1.2.15.2.61 | SUBJGRP 61
| Medicare Program Waivers | |
| 42:5.0.1.2.15.2.61.18 | SECTION 512.280
| 512.280 RO Model Medicare program waivers. | |
| 42:5.0.1.2.15.2.62 | SUBJGRP 62
| Reconciliation and Review Process | |
| 42:5.0.1.2.15.2.62.19 | SECTION 512.285
| 512.285 Reconciliation process. | |
| 42:5.0.1.2.15.2.62.20 | SECTION 512.290
| 512.290 Timely error notice and reconsideration review process. | |
| 42:5.0.1.2.15.3 | SUBPART C
| Subpart C - ESRD Treatment Choices Model | |
| 42:5.0.1.2.15.3.63 | SUBJGRP 63
| General | |
| 42:5.0.1.2.15.3.63.1 | SECTION 512.300
| 512.300 Basis and scope. | |
| 42:5.0.1.2.15.3.63.2 | SECTION 512.310
| 512.310 Definitions. | |
| 42:5.0.1.2.15.3.64 | SUBJGRP 64
| ESRD Treatment Choices Model Scope and Participants | |
| 42:5.0.1.2.15.3.64.3 | SECTION 512.320
| 512.320 Duration. | |
| 42:5.0.1.2.15.3.64.4 | SECTION 512.325
| 512.325 Participant selection and geographic areas. | |
| 42:5.0.1.2.15.3.64.5 | SECTION 512.330
| 512.330 Beneficiary notification. | |
| 42:5.0.1.2.15.3.65 | SUBJGRP 65
| Home Dialysis Payment Adjustment | |
| 42:5.0.1.2.15.3.65.6 | SECTION 512.340
| 512.340 Payments subject to the Facility HDPA. | |
| 42:5.0.1.2.15.3.65.7 | SECTION 512.345
| 512.345 Payments subject to the Clinician HDPA. | |
| 42:5.0.1.2.15.3.65.8 | SECTION 512.350
| 512.350 Schedule of home dialysis payment adjustments. | |
| 42:5.0.1.2.15.3.66 | SUBJGRP 66
| Performance Payment Adjustment | |
| 42:5.0.1.2.15.3.66.9 | SECTION 512.355
| 512.355 Schedule of performance assessment and performance payment adjustment. | |
| 42:5.0.1.2.15.3.66.10 | SECTION 512.360
| 512.360 Beneficiary population and attribution. | |
| 42:5.0.1.2.15.3.66.11 | SECTION 512.365
| 512.365 Performance assessment. | |
| 42:5.0.1.2.15.3.66.12 | SECTION 512.370
| 512.370 Benchmarking and scoring. | |
| 42:5.0.1.2.15.3.66.13 | SECTION 512.375
| 512.375 Payments subject to adjustment. | |
| 42:5.0.1.2.15.3.66.14 | SECTION 512.380
| 512.380 PPA Amounts and schedules. | |
| 42:5.0.1.2.15.3.66.15 | SECTION 512.385
| 512.385 PPA exclusions. | |
| 42:5.0.1.2.15.3.66.16 | SECTION 512.390
| 512.390 Notification and targeted review. | |
| 42:5.0.1.2.15.3.67 | SUBJGRP 67
| Quality Monitoring | |
| 42:5.0.1.2.15.3.67.17 | SECTION 512.395
| 512.395 Quality measures. | |
| 42:5.0.1.2.15.3.68 | SUBJGRP 68
| Medicare Program Waivers | |
| 42:5.0.1.2.15.3.68.18 | SECTION 512.397
| 512.397 ETC Model Medicare program waivers. | |