{"data":{"id":"us/42-cfr-475.101","jurisdiction":"us","citation":"42 CFR 475.101","heading":"Eligibility requirements for QIO contracts.","body":"In order to be eligible for a QIO contract, an organization must meet the following requirements:\n(a) Have a governing body that includes at least one individual who is a representative of health care providers and at least one individual who is a representative of consumers.\n(b) Demonstrate the ability to perform the functions of a QIO, including—\n(1) The ability to meet the eligibility requirements and perform activities as set forth in the QIO Request for Proposal; and\n(2) The ability to—\n(i) Perform case reviews as described in § 475.102; and/or\n(ii) Perform quality improvement initiatives as set forth in § 475.103.\n(c) Demonstrate the ability to actively engage beneficiaries, families, and consumers, as applicable, in case reviews as set forth in § 475.102, and/or quality improvement initiatives as set forth in § 475.103.\n(d) Demonstrate the ability to perform the functions of a QIO with objectivity and impartiality and in a fair and neutral manner.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER F—QUALITY IMPROVEMENT ORGANIZATIONS","PART 475—QUALITY IMPROVEMENT ORGANIZATIONS","Subpart C—Quality Improvement Organizations"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"8eb6acbb7dd0427b5ce4592e037440f5cd2b36d8b48adca5b48c7f1bd58c306b","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-475.100","next":"us/42-cfr-475.102"},"notice":"GroundRules: Original legal text. Not legal advice."}