§ 512.600 Basis and scope of subpart.
(a) Basis. This subpart implements the expansion of the Comprehensive Care for Joint Replacement (CJR) Model under section 1115A(c) of the Act. Except as specifically noted in this subpart, 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:
(i) Participation in CJR-X.
(ii) Scope of episodes.
(iii) Pricing methodology.
(iv) Quality measures and quality reporting requirements.
(v) Reconciliation and review processes.
(vi) Data Sharing and other requirements.
(vii) Financial arrangements and beneficiary incentives.
(viii) Medicare program waivers.
(c) Applicability. Except as otherwise specified in this subpart, CJR-X participants are subject to the standard provisions for Innovation Center models specified in subpart A of this part 512 and in subpart K of part 403 of this chapter.