[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR61.12]

[Page 169]
 
                        TITLE 45--PUBLIC WELFARE
 
                           AND HUMAN SERVICES
 
PART 61_HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL 
ADVERSE INFORMATION ON HEALTH CARE PROVIDERS, SUPPLIERS
 
  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.