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Title 42

Displaying title 42, up to date as of 7/09/2026. Title 42 was last amended 7/01/2026.
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  1. Title 42 —Public Health
  2. Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services
  3. Subchapter F —Quality Improvement Organizations
  4. Part 480 —Acquisition, Protection, and Disclosure of Quality Improvement Organization Information
  5. Subpart B   View Full Text
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eCFR Content

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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter FQuality Improvement Organizations475 – 481
Part 480Acquisition, Protection, and Disclosure of Quality Improvement Organization Information480.101 – 480.145
Subpart BUtilization and Quality Control Quality Improvement Organizations (QIOs)480.101 – 480.145
General Provisions480.101 – 480.109
§ 480.101Scope and definitions.
§ 480.102Statutory bases for acquisition and maintenance of information.
§ 480.103Statutory bases for disclosure of information.
§ 480.104Procedures for disclosure by a QIO.
§ 480.105Notice of disclosures made by a QIO.
§ 480.106Exceptions to QIO notice requirements.
§ 480.107Limitations on redisclosure.
§ 480.108Penalties for unauthorized disclosure.
§ 480.109Applicability of other statutes and regulations.
QIO Access to Information480.111 – 480.114
§ 480.111QIO access to records and information of institutions and practitioners.
§ 480.112QIO access to records and information of intermediaries and carriers.
§ 480.113QIO access to information collected for QIO purposes.
§ 480.114Limitation on data collection.
QIO Responsibilities480.115 – 480.116
§ 480.115Requirements for maintaining confidentiality.
§ 480.116Notice to individuals and institutions under review.
Disclosure of Nonconfidential Information480.120 – 480.121
§ 480.120Information subject to disclosure.
§ 480.121Optional disclosure of nonconfidential information.
Disclosure of Confidential Information480.130 – 480.145
§ 480.130Disclosure to the Department.
§ 480.131Access to medical records for the monitoring of QIOs.
§ 480.132Disclosure of information about patients.
§ 480.133Disclosure of information about practitioners, reviewers and institutions.
§ 480.134Verification and amendment of QIO information.
§ 480.135Disclosure necessary to perform review responsibilities.
§ 480.136Disclosure to intermediaries and carriers.
§ 480.137Disclosure to Federal and State enforcement agencies responsible for the investigation or identification of fraud or abuse of the Medicare or Medicaid programs.
§ 480.138Disclosure for other specified purposes.
§ 480.139Disclosure of QIO deliberations and decisions.
§ 480.140Disclosure of quality review study information.
§ 480.141Disclosure of QIO interpretations on the quality of health care.
§ 480.142Disclosure of sanction reports.
§ 480.143QIO involvement in shared health data systems.
§ 480.144Access to QIO data and information.
§ 480.145Beneficiary authorization of use of confidential information.
eCFR Content