Subpart D. Subpart D—Increasing Organ Transplant Access (IOTA) Model

• § 512.400 - Basis and scope.
• § 512.402 - Definitions.

• Increasing Organ Transplant Access Model Scope and Participation

  • SECTION § 512.412 - Participant eligibility and selection.
  • SECTION § 512.414 - Patient population.

• Performance Assessment and Scoring

  • SECTION § 512.422 - Overview of performance assessment and scoring.
  • SECTION § 512.424 - Achievement domain.
  • SECTION § 512.426 - Efficiency domain.
  • SECTION § 512.428 - Quality domain.

• Payment

  • SECTION § 512.430 - Upside risk payment, downside risk payment, and neutral zone.
  • SECTION § 512.434 - Targeted review.
  • SECTION § 512.436 - Extreme and uncontrollable circumstances.

• Data Sharing

  • SECTION § 512.440 - Data sharing.
  • SECTION § 512.442 - Transparency requirements.
  • SECTION § 512.446 - Health equity plans.

• Beneficiary Protections and Financial Arrangements, Beneficiary Incentives, and Compliance

  • SECTION § 512.450 - Required beneficiary notifications.
  • SECTION § 512.452 - Financial sharing arrangements and attributed patient engagement incentives.
  • SECTION § 512.454 - Distribution arrangements.
  • SECTION § 512.455 - Enforcement authority.
  • SECTION § 512.456 - Beneficiary incentive: Part B and Part D immunosuppressive drug cost sharing support.
  • SECTION § 512.458 - Attributed patient engagement incentives.
  • SECTION § 512.459 - Application of the CMS-sponsored model arrangements and patient incentives safe harbor.
  • SECTION § 512.460 - Audit rights and records retention.
  • SECTION § 512.462 - Compliance and monitoring.
  • SECTION § 512.464 - Remedial action.
  • SECTION § 512.466 - Termination.
  • SECTION § 512.468 - Bankruptcy and other notifications.

• Waivers

  • SECTION § 512.470 - Waivers.