[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR456.113]



[Page 345]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 456_UTILIZATION CONTROL--Table of Contents

 

                Subpart C_Utilization Control: Hospitals

 

Sec.  456.113  Confidentiality.



    The UR plan must provide that the identities of individual 

recipients in all UR records and reports are kept confidential.



                UR Plan: Review of Need for Admission \1\

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    \1\ The Department was enjoined in 1975 in the case of American 

Medical Assn. et al. v. Weinberger, 395 F. Supp. 515 (N.D. Ill., 1975), 

aff'd., 522 F2d 921 (7th cir., 1975) from implementing the admission 

review requirements contained in Sec. Sec.  456.121-456.127. This case 

was dismissed on the condition that these requirements be revised. They 

are presently being revised, and will not be in force until that 

revision is completed.

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