View all text of Subjgrp 90 [§ 512.355 - § 512.390]
§ 512.380 - PPA Amounts and schedules.
CMS adjusts the payments described in § 512.375 based on the ETC Participant's MPS calculated as described in § 512.370(d) according to the following amounts and schedules in Table 1 and Table 2 to § 512.380.
Table 1 to § 512.380—Facility PPA Amounts and Schedule
| MPS | Performance payment adjustment period | 1 and 2
(%) | 3 and 4
(%) | 5 and 6
(%) | 7
(%) | Facility Performance Payment Adjustment | ≤6 | +4.0 | +5.0 | +6.0 | +7.0 | ≤5 | +2.0 | +2.5 | +3.0 | +3.5 | ≤3.5 | 0 | 0 | 0 | 0 | ≤2 | −2.5 | −3.0 | −3.5 | −4.5 | ≤.5 | −5.0 | −6.0 | −7.0 | −9.0 |
|---|
Table 2 to § 512.380—Clinician PPA Amounts and Schedule
| MPS | Performance payment adjustment period | 1 and 2
(%) | 3 and 4
(%) | 5 and 6
(%) | 7
(%) | Clinician Performance Payment Adjustment | ≤6 | +4.0 | +5.0 | +6.0 | +7.0 | ≤5 | +2.0 | +2.5 | +3.0 | +3.5 | ≤3.5 | 0 | 0 | 0 | 0 | ≤2 | −2.5 | −3.0 | −3.5 | −4.0 | ≤.5 | −5.0 | −6.0 | −7.0 | −8.0 |
|---|
