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HHS/CMS RIN: 0938-AV19 Publication ID: Spring 2024 
Title: Episode-Based Payment Model (CMS-5540) 
Abstract:

This rule implements a new episode-based payment model focused on accountability for quality and cost, health equity, and specialty integration.  The proposed rule was merged with the FY 2025 Hospital Inpatient PPS (IPPS) proposed rule published May 2, 2024.  The rule is also expected to be finalized in the FY 2025 IPPS final rule. 

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR Ch. IV     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 1315a   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  05/02/2027 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
Request for Information  07/18/2023  88 FR 45872   
Comment Period End  08/17/2023 
NPRM Merged With 0938-AV34  05/02/2024  89 FR 35934   
NPRM Comment Period End  06/10/2024 
Final Action  05/00/2027 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Sacha Wolf
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare and Medicaid Innovation, MS: WB-04-65, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9769
Email: sacha.wolf@cms.hhs.gov