- Title
- Utilization Review Condition of Participation for Hospitals
- Memo #
- 07-24
- Posting Date
- 07/22/2007
- Fiscal Year
- 2007
- Summary
- State survey agencies have jurisdiction over the Utilization Review (UR) Condition of Participation (CoP) for accredited and non-accredited hospitals. The UR CoP is not part of the deemed program. Hospitals may utilize binding review by the Quality Improvement Organization (QIO) to comply. Although approved Medicaid UR processes may also be used to comply, there are none currently approved by the Centers for Medicare & Medicaid Services (CMS) for hospital UR compliance purposes.
