United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2018-10-25 article Part III Rules and Regulations D09002ee1c7ef3c98 D09002ee1c7ef3d57 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule cancels the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) Incentive Payment Model and rescinds the regulations governing these models. It also implements certain revisions to the Comprehensive Care for Joint Replacement (CJR) model, including: Giving certain hospitals selected for participation in the CJR model a one-time option to choose whether to continue their participation in the model; technical refinements and clarifications for certain payment, reconciliation and quality provisions; and a change to increase the pool of eligible clinicians that qualify as affiliated practitioners under the Advanced Alternative Payment Model (Advanced APM) track. An interim final rule with comment period is being issued in conjunction with this final rule in order to address the need for a policy to provide some flexibility in the determination of episode costs for providers located in areas impacted by extreme and uncontrollable circumstances. 82 FR 57066 https://www.govinfo.gov/app/details/FR-2017-12-01/2017-25979 2017-25979 fr01de17-14 RIN 0938-AT16 4120-01-P CMS-5524-F and IFC https://www.govinfo.gov/app/details/FR-2017-12-01/2017-25979 https://www.govinfo.gov/content/pkg/FR-2017-12-01/html/2017-25979.htm https://www.govinfo.gov/content/pkg/FR-2017-12-01/pdf/2017-25979.pdf Administrative Practice and Procedure Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements 39 p. 57066 57104 82 FR 57066 Title 42 Part 510 42 CFR Part 510 Title 42 Part 512 42 CFR Part 512 RIN 0938-AT16 Medicare Program; Cancellation of Advancing Care Coordination Through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model: Extreme and Uncontrollable Circumstances Policy for the Comprehensive Care for Joint Replacement Payment Model; Federal Register Vol. 82, Issue RULE 2017-25979 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2018-01-01 CMS-5524-F and IFC 4120-01-P 2017-25979 Final rule; interim final rule with comment period.

This final rule cancels the Episode Payment Models (EPMs) and Cardiac Rehabilitation (CR) Incentive Payment Model and rescinds the regulations governing these models. It also implements certain revisions to the Comprehensive Care for Joint Replacement (CJR) model, including: Giving certain hospitals selected for participation in the CJR model a one-time option to choose whether to continue their participation in the model; technical refinements and clarifications for certain payment, reconciliation and quality provisions; and a change to increase the pool of eligible clinicians that qualify as affiliated practitioners under the Advanced Alternative Payment Model (Advanced APM) track. An interim final rule with comment period is being issued in conjunction with this final rule in order to address the need for a policy to provide some flexibility in the determination of episode costs for providers located in areas impacted by extreme and uncontrollable circumstances.

Effective Date: These final and interim final regulations are effective on January 1, 2018. Nora Fleming, (410) 786-6908. Administrative Practice and Procedure Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Medicare Program: Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models, etc. , CJR@cms.hhs.gov EPMRULE@cms.hhs.gov http://www.al.com/news/mobile/index.ssf/2017/11/trump_declares_major_disaster.html http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier4&cid=1228772057350 http://www.sba.gov/content/smallbusiness-size-standards http://www.whitehouse.gov/omb/circulars_a004_a-4 https://downloads.cms.gov/files/cmmi/ace-evaluationreport-final-5-2-14.pdf https://innovation.cms.gov/Files/reports/BPCI-EvalRpt1.pdf https://innovation.cms.gov/Files/reports/bpci-models2-4-yr2evalrpt.pdf https://innovation.cms.gov/Files/x/newdirection-rfi.pdf https://innovation.cms.gov/initiatives/cjr https://tampacommunityhospital.com/about/newsroom/tampa-community-hospital-has-suspended-all-services-and-has-evacuated-patients https://weather.com/storms/hurricane/news/hurricane-irma-tampa-hospital-evacuation-zone https://www.bls.gov/oes/current/oes_nat.htm https://www.cms.gov/About-CMS/Agency-Information/Emergency/ https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/Fraud-and-Abuse-Waivers.html https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Downloads/FY2018-CMS-1677-FR-Table-5.zip https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology.html https://www.fema.gov/disaster/4332/designated-areas https://www.fema.gov/disaster/4337/designated-areas https://www.fema.gov/disaster/4338/designated-areas https://www.fema.gov/disaster/4341/designated-areas https://www.fema.gov/disaster/4344/designated-areas https://www.fema.gov/disaster/4345/designated-areas https://www.fema.gov/disaster/4346/designated-areas https://www.fema.gov/disaster/4349/designated-areas https://www.fema.gov/disasters https://www.healthdatamanagement.com/news/hurricane-irma-causes-36-florida-hospitals-to-close https://www.nytimes.com/2017/09/06/us/texas-hospital-evacuation.html https://www.statnews.com/2017/09/09/irma-hospital-evacuations-rundown/ www.FEMA.gov/disasters Vol. 82, no. 230 Office of the Federal Register, National Archives and Records Administration 2017-12-01 continuing daily deposited born digital 254 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2017-12-01 P0b002ee19d7bdc98 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr01de17 https://www.govinfo.gov/app/details/FR-2017-12-01 https://www.govinfo.gov/content/pkg/FR-2017-12-01/pdf/FR-2017-12-01.pdf https://www.govinfo.gov/content/pkg/FR-2017-12-01/xml/FR-2017-12-01.xml fdlp 56859 57104 DGPO 2018-10-25 2024-06-01 FR-2017-12-01 machine generated eng FR FR-2017-12-01 82 230