[Code of Federal Regulations]

[Title 45, Volume 1]

[Revised as of October 1, 2006]

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

[CITE: 45CFR61.12]



[Page 156]

 

                        TITLE 45--PUBLIC WELFARE

 

                    SUBTITLE A--DEPARTMENT OF HEALTH

                           AND HUMAN SERVICES

 

PART 61_HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE 

INFORMATION ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS--Table 

of Contents

 

  Subpart C_Disclosure of Information by the Healthcare Integrity and 

                          Protection Data Bank

 

Sec.  61.12  Requesting information from the Healthcare Integrity and 

Protection Data Bank.





    (a) Who may request information and what information may be 

available. Information in the HIPDB will be available, upon request, to 

the following persons or entities, or their authorized agents--

    (1) Federal and State Government agencies;

    (2) Health plans;

    (3) A health care practitioner, provider, or supplier requesting 

information concerning himself, herself or itself; and

    (4) A person or entity requesting statistical information, which 

does not permit identification of any individual or entity. (For 

example, researchers can use statistical information to identify the 

total number of practitioners excluded from the Medicare and Medicaid 

programs. Similarly, health plans can use statistical information to 

develop outcome measures in their efforts to monitor and improve quality 

care.)

    (b) Procedures for obtaining HIPDB information. Eligible individuals 

and entities may obtain information from the HIPDB by submitting a 

request in such form and manner as the Secretary may prescribe. These 

requests are subject to fees set forth in Sec.  61.13. The HIPDB will 

comply with the Department's principles of fair information practice by 

providing each subject of a report with a copy when the report is 

entered into the HIPDB.

    (c) Information provided in response to self-queries. (1) At the 

time subjects request information as part of a ``self-query,'' the 

subject will receive--

    (i) Any report(s) in the HIPDB specific to them; and

    (ii) A disclosure history from the HIPDB of the name(s) of any 

entity (or entities) that have previously received the report(s).

    (2) The disclosure history will be restricted in accordance with the 

Privacy Act regulations set forth in 45 CFR part 5b.