42 C.F.R. § 510.100

Current through October 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