§512.564. Referral to primary care services.
42 C.F.R. § 512.564
A TEAM participant must include in hospital discharge planning a referral to an established supplier of primary care services, as recorded on admission to the hospital or hospital outpatient department, for a TEAM beneficiary, on or prior to discharge from an anchor hospitalization or anchor procedure. In the event an established supplier of primary care services is not recorded on admission to the hospital or hospital outpatient department, the TEAM participant must include in hospital discharge planning a referral to a supplier of primary care services for a TEAM beneficiary, on or prior to discharge from an anchor hospitalization or anchor procedure.
In making the referral described in paragraph (a) of this section, the TEAM participant must comply with beneficiary freedom of choice, as described in § 512.582(a).
A TEAM participant that does not comply with paragraph (a) of this section, may be subject to remedial action as described in § 512.592.
Notes, amendments, and revision history
Amendments
[89 FR 69914, Aug. 28, 2024, as amended at 90 FR 37208, Aug. 4, 2025]
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.
Amendments
[89 FR 69914, Aug. 28, 2024, as amended at 90 FR 37208, Aug. 4, 2025]