42 CFR 510.620 - Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.

Regulations last checked for updates: Nov 25, 2024

Title 42 - Public Health last revised: Nov 19, 2024

View all text of Subpart G [§ 510.600 - § 510.620]

§ 510.620 - Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.

(a) Waiver of deductible and coinsurance. CMS waives the requirements of sections 1813 and 1833(a) of the Act for Medicare Part A and Part B payment systems only to the extent necessary to make reconciliation payments or receive repayments based on the NPRA that reflect the episode payment methodology under the final payment model for CJR participant hospitals.

(b) Reconciliation payments or repayments. Reconciliation payments or repayments do not affect the beneficiary cost-sharing amounts for the Part A and Part B services provided under the CJR model.

[80 FR 73540, Nov. 24, 2015, as amended at 82 FR 622, Jan. 3, 2017]

authority: 42 U.S.C. 1302,1315a,and

source: 80 FR 73540, Nov. 24, 2015, unless otherwise noted.

cite as: 42 CFR 510.620