42 C.F.R. § 510.100

Current through May 31, 2024
Section 510.100 - Episodes being tested
(a)Initiation of an episode. An episode is initiated when, with respect to a beneficiary described in § 510.205 -
(1) The participant hospital admits the beneficiary for an anchor hospitalization; or
(2) On or after July 4, 2021, an anchor procedure is performed at the participant hospital.
(b)Exclusions. A hospital is excluded from being a participant hospital, but only so long as any of the following conditions apply:
(1) The hospital is an episode initiator for an LEJR episode in the risk-bearing period of Models 2 or 4 of BPCI.
(2) The hospital is participating in Model 1 of BPCI.
(3) These exclusions cease to apply as of the date that the hospital no longer meets any of the conditions specified in this paragraph.

42 C.F.R. §510.100

80 FR 73540, Nov. 24, 2015, as amended at 86 FR 23570, May 3, 2021
86 FR 23570, 7/2/2021