42 CFR 422.153
§ 422.153 Use of quality improvement organization review information.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 422.153, § 422.153 Use of quality improvement organization review information, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204543
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Full text
CMS will acquire from quality improvement organizations (QIOs) as defined in part 475 of this chapter data collected under section 1886(b)(3)(B)(viii) of the Act and subject to the requirements in § 480.140(g). CMS will acquire this information, as needed, and may use it for the following functions:
(a) Enable beneficiaries to compare health coverage options and select among them.
(b) Evaluate plan performance.
(c) Ensure compliance with plan requirements under this part.
(d) Develop payment models.
(e) Other purposes related to MA plans as specified by CMS.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.