42 C.F.R. § 478.18

Location for submitting requests for reconsideration.

Last amended: 2017Year: 2026Length: 114 wordsSubsections: 3Official source

Cite as 42 C.F.R. § 478.18 (2026)

(a) Beneficiaries. Except as provided in paragraph (c) of this section concerning requests for expedited reconsideration, a beneficiary who wishes to obtain a reconsideration must submit a written request to one of the following: (1) The QIO or the QIO subcontractor that made the initial determination. (2) An SSA District Office. (3) A Railroad Retirement Board Office, if the beneficiary is a railroad retiree. (b) Others. A provider, physician or other practitioner that wishes to obtain reconsideration must submit a written request to the QIO or QIO subcontractor that made the initial determination. (c) Expedited reconsideration. A request for an expedited reconsideration of a preadmission denial determination must be submitted directly to the QIO.
42 C.F.R. § 478.18: Location for submitting requests for reconsideration. | Justis AI