Code of Federal Regulations > Title 42 > Chapter IV > Part 512 > Subpart E - Subpart E—Transforming Episode Accountability Model (TEAM)

U.S. Code of Federal Regulations

Regulations most recently checked for updates: Mar 24, 2026

TEAM PARTICIPATION

§ 512.508 - Mandatory participation.

§ 512.510 - Voluntary opt-in participation.

§ 512.515 - Geographic areas.

§ 512.520 - Participation tracks.

§ 512.522 - APM options.

SCOPE OF EPISODES BEING TESTED

§ 512.525 - Episodes.

§ 512.535 - Beneficiary inclusion criteria.

§ 512.537 - Determination of the episode.

PRICING METHODOLOGY

§ 512.540 - Determination of preliminary target prices.

§ 512.545 - Determination of reconciliation target prices.

QUALITY MEASURES AND COMPOSITE QUALITY SCORE

§ 512.547 - Quality measures, composite quality score, and display of quality measures.

RECONCILIATION AND REVIEW PROCESS

§ 512.550 - Reconciliation process and determination of the reconciliation payment or repayment amount.

§ 512.552 - Treatment of incentive programs or add-on payments under existing Medicare payment systems.

§ 512.555 - Proration of payments for services that extend beyond an episode.

§ 512.560 - Appeals process.

§ 512.561 - Reconsideration review processes.

DATA SHARING AND OTHER REQUIREMENTS

§ 512.562 - Data sharing with TEAM participants.

§ 512.563 - Health data reporting.

§ 512.564 - Referral to primary care services.

FINANCIAL ARRANGEMENTS AND BENEFICIARY INCENTIVES

§ 512.565 - Sharing arrangements.

§ 512.568 - Distribution arrangements.

§ 512.570 - Downstream distribution arrangements.

§ 512.575 - TEAM beneficiary incentives.

§ 512.576 - Application of the CMS-sponsored model arrangements and patient incentives safe harbor.

MEDICARE PROGRAM WAIVERS

§ 512.580 - TEAM Medicare Program Waivers.

GENERAL PROVISIONS

§ 512.582 - Beneficiary protections.

§ 512.584 - Cooperation in model evaluation and monitoring.

§ 512.586 - Audits and record retention.

§ 512.588 - Rights in data and intellectual property.

§ 512.590 - Monitoring and compliance.

§ 512.592 - Remedial action.

§ 512.594 - Limitations on review.

§ 512.595 - Bankruptcy and other notifications.

§ 512.596 - Termination of TEAM or TEAM participant from model by CMS.

GENERAL

§ 512.500 - Basis and scope of subpart.

§ 512.505 - Definitions.