Jan. 1 new target date. Home care providers have some extra months before they’ll see the effects of Medicare’s new Comprehensive Care for Joint Replacement Model. The Centers for Medicare & Medicaid Services has pushed the start date from July 1 to Jan. 1, 2018, according to a final rule. The rule also postpones the start date of CMS’s new episode payment models (EPMs) and the Cardiac Rehabilitation Incentive Payment Model (CR Incentive Model), law firm Hall Render notes in rule analysis. This is the second delay for the CJR bundling model, the National Association for Home Care & Hospice notes.