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HHS/CMS RIN: 0938-AS64 Publication ID: Fall 2015 
Title: ●Comprehensive Care for Joint Replacement (CMS-5516-F)(Section 610 Review) 

This final rule implements a new Medicare Part A and B payment model under section 1115A of the Social Security Act, called the Comprehensive Care Joint Replacement Model, in which acute care hospitals in certain selected geographic areas receive retrospective bundled payments for episodes of care for lower extremity joint replacement or reattachment of a lower extremity. All related care within 90 days of hospital discharge from the joint replacement procedures would be included in the episode of care. We believe this model furthers our goals in improving the efficiency and quality of care for Medicare beneficiaries for these common medical procedures.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: uncollected 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 510   
Legal Authority: Social Security Act, sec 1115A   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA section 902  07/14/2018 
Action Date FR Cite
NPRM  07/14/2015  80 FR 41198   
NPRM Comment Period End  09/08/2015 
Final Action  11/00/2015 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Gabriel Scott
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare & Medicaid Innovation, MS: WB-06-05, 7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-3928