---
kind: "section"
citation: "42 C.F.R. § 512.522"
title: "42"
number: "512.522"
heading: "APM options."
url: "https://uscodex.org/cfr/42/512.522"
---

# §512.522. APM options.

- (a) **TEAM APM options.** For performance years 1 through 5, a TEAM participant may choose either of the following options based on their CEHRT use and track participation:
  - (1) **AAPM option.** A TEAM participant participating in Track 2 or Track 3 may select the AAPM option by attesting in a form and manner and by a date specified by CMS to their use of CEHRT, as defined in [§ 414.1305](/cfr/42/414.1305.md) of this chapter, on an annual basis prior to the start of each performance year.
    - (i) A TEAM participant that selects the AAPM option as provided for in [paragraph (a)(1)](#a-1) must provide their CMS electronic health record certification ID in a form and manner and by a date specified by CMS on annual basis prior to the end of each performance year.
    - (ii) A TEAM participant that selects the AAPM option as provided for in [paragraph (a)(1)](#a-1) must retain documentation of their attestation to CEHRT use and provide access to the documentation in accordance with [§ 512.586](/cfr/42/512.586.md).
  - (2) **Non-AAPM option.** CMS assigns the TEAM participant to the non-AAPM option if the TEAM participant is in Track 1 or if the TEAM participant is in Track 2 or Track 3 and does not attest in a form and manner and by a date specified by CMS to their use of CEHRT as defined in [§ 414.1305](/cfr/42/414.1305.md) of this chapter.
- (b) **Financial arrangements list.** A TEAM participant with TEAM collaborators, collaboration agents, or downstream collaboration agents during a performance year must submit to CMS a financial arrangements list in a form and manner and by a date specified by CMS on a quarterly basis for each performance year. The financial arrangements list must include the following:
  - (1) **TEAM collaborators.** For each physician, nonphysician practitioner, or therapist who is a TEAM collaborator during the performance year:
    - (i) **The name, TIN, and NPI of the TEAM collaborator.**
    - (ii) The start date and, if applicable, end date, for the sharing arrangement between the TEAM participant and the TEAM collaborator.
  - (2) **Collaboration agents.** For each physician, nonphysician practitioner, or therapist who is a collaboration agent during the performance year:
    - (i) The name, TIN, and NPI of the collaboration agent and the name and TIN of the TEAM collaborator with which the collaboration agent has entered into a distribution arrangement.
    - (ii) The start date and, if applicable, end date, for the distribution arrangement between the TEAM collaborator and the collaboration agent.
  - (3) **Downstream collaboration agents.** For each physician, nonphysician practitioner, or therapist who is a downstream collaboration agent during the performance year:
    - (i) The name, TIN, and NPI of the downstream collaboration agent and the name and TIN of the collaboration agent with which the downstream collaboration agent has entered into a downstream distribution arrangement.
    - (ii) The start date and, if applicable, end date, for the downstream distribution arrangement between the collaboration agent and the downstream collaboration agent.
- (c) **Clinician engagement list.** A TEAM participant must submit to CMS a clinician engagement list in a form and manner and by a date specified by CMS on a quarterly basis during each performance year. The clinician engagement list must include the following:
  - (1) For each physician, nonphysician practitioner, or therapist who is not on a TEAM participant's financial arrangements list during the performance year but who does have a contractual relationship with the TEAM participant and participates in TEAM activities during the performance year:
    - (i) **The name, TIN, and NPI of the physician, nonphysician practitioner, or therapist.**
    - (ii) The start date and, if applicable, the end date for the contractual relationship between the physician, nonphysician practitioner, or therapist and the TEAM participant.
- (d) **Attestation to no individuals.** A TEAM participant with no individuals that meet the criteria specified in [paragraphs (b)(1) through (3)](#b-1..b-3) of this section for the financial arrangements list or [paragraph (c)](#c) of this section for the clinician engagement list must attest in a form and manner and by a date specified by CMS that there are no financial arrangements or clinician engagements to report.
- (e) **Documentation requirements.** A TEAM participant that submits a financial arrangements list specified in [paragraph (b)](#b) of this section or a clinician engagement list specified in [paragraph (c)](#c) of this section must retain and provide access to the documentation in accordance with [§ 512.586](/cfr/42/512.586.md).

## Notes

### Source

Source: 89 FR 69914, Aug. 28, 2024, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1315a, and 1395hh.

### Source

Source: 85 FR 61362, Sept. 29, 2020, unless otherwise noted.