[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: 42CFR475.106]



[Page 463]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 475_QUALITY IMPROVEMENT ORGANIZATIONS--Table of Contents

 

     Subpart C_Utilization and Quality Control Quality Improvement 

                              Organizations

 

Sec.  475.106  Prohibition against contracting with payor organizations.



    Payor organizations are not eligible to become QIOs for the area in 

which they make payments until November 15, 1984. If no QIO contract for 

an area is awarded before November 15, 1984, a payor organization will 

be determined eligible by CMS, if an eligible organization that is not a 

payor organization is unavailable at that time. CMS may determine the 

unavailability of nonpayor organizations based on the lack of response 

to an appropriate Request for Proposal.



[50 FR 15328, Apr. 17, 1985]