Hospital Mandate FAQ

TEAM is mandatory only if your facility is one of the 721 acute-care IPPS hospitals CMS selected in designated CBSAs. Search the hospital list by name or state. If it is not on Rainfall’s CMS Q2 2026 Participant List snapshot, it is not on this copy of the CMS roster.

CJR-X is mandatory nationwide beginning January 1, 2028 for most acute-care hospitals paid under both IPPS and OPPS. TEAM participants, Maryland hospitals, Critical Access Hospitals, and Rural Emergency Hospitals are excluded. See CJR-X eligibility.

No. Hospitals participating in TEAM are excluded from CJR-X while TEAM is active (through December 31, 2030). After TEAM ends, otherwise eligible hospitals are required to enter CJR-X. Start at Am I mandated?.

Open the TEAM hospital list, type the facility name, or click your state. Region maps live under census regions.

TEAM has three tracks: Track 1 (no downside, medium reward), Track 2 (lower risk and reward, years 2–5), and Track 3 (highest risk and reward). Safety-net hospitals can stay in Track 1 for up to three years. See the tracks and the revenue playbook.

The R.A.I.N. Advisory Committee includes hospital operators and clinicians (UPMC, Mercy, UC Health, Mayo Clinic, Kaiser Permanente, Avera, and others). Individual bios are on each advisor’s people page.