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Code of Federal Regulations Title 42. Public Health § 42.510.100 Episodes being tested

Current as of January 02, 2025 | Updated by Findlaw Staff

(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.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.510.100 Episodes being tested - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-510-100/

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