42 CFR § 512.380 - PPA Amounts and schedules.

---
identifier: "/us/cfr/t42/s512.380"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 512.380 - PPA Amounts and schedules."
title_number: 42
title_name: "Public Health"
section_number: "512.380"
section_name: "PPA Amounts and schedules."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "H"
subchapter_name: "HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS"
part_number: "512"
part_name: "STANDARD PROVISIONS FOR MANDATORY INNOVATION CENTER MODELS AND SPECIFIC PROVISIONS FOR CERTAIN MODELS"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1315a, and 1395hh."
regulatory_source: "85 FR 61362, Sept. 29, 2020, unless otherwise noted."
cfr_part: "512"
---


# 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

|  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- |
| 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

|  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- |
| 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 |

[85 FR 61362, Sept. 29, 2020, as amended at 90 FR 53142, Nov. 24, 2025]