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 ≤3.50000 ≤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 ≤3.50000 ≤2−2.5−3.0−3.5−4.0 ≤.5−5.0−6.0−7.0−8.0
[85 FR 61362, Sept. 29, 2020, as amended at 90 FR 53142, Nov. 24, 2025]