Medicare program; Peer Review Organizations: new PRO contracts for all states and territories and the District of Columbia--HCFA. Notice.
This notice gives a general description of Utilization and Quality Control Peer Review Organization (PRO) contract requirements and significant changes in the PRO program. It outlines new requirements for the review activities of PROs for contracts entered into beginning April, 1993. This notice fulfills the requirements of section 1153(h)(1) of the Social Security Act. That section requires publication of any new policy or procedure adopted by the Secretary that affects substantially the performance of PRO contract obligations at least 30 days before the date the policy or procedure is to be used.
D014487:Centers for Medicare and Medicaid Services, U.S.; D016536:Competitive Medical Plans / Q000592:standards; D003284:Contract Services / Q000331:legislation & jurisprudence; D006279:Health Maintenance Organizations / Q000592:standards; D006278:Medicare / Q000331:legislation & jurisprudence*; D011366:Professional Review Organizations / Q000331:legislation & jurisprudence*; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence; D014481:United States