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HHS/CMS RIN: 0938-AU01 Publication ID: Spring 2020 
Title: Comprehensive Care for Joint Replacement Model Three-Year Extension and Modifications to Episode Definition and Pricing (CMS-5529) 

This final rule revises certain aspects of the Comprehensive Care for Joint Replacement (CJR) model including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements, and the appeals process.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: Other 
CFR Citation: 42 CFR 510   
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.  02/24/2023 

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.

Action Date FR Cite
NPRM  02/24/2020  85 FR 10516   
NPRM Comment Period End  04/24/2020 
NPRM Comment Period Extended  04/24/2020  85 FR 22978   
NPRM Comment Period Extended End  06/23/2020 
Final Action  02/00/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Related to 0938-AT16, Related to 0938-AS90 
Agency Contact:
Nora Fleming
Director, Division of Specialty Payment Models
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare and Medicaid Innovation, MS: WB-06-05, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6908