[Code of Federal Regulations] [Title 42, Volume 4] [Revised as of October 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR478.28] [Page 479] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 478_RECONSIDERATIONS AND APPEALS--Table of Contents Subpart B_Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals Sec. 478.28 Qualifications of a reconsideration reviewer. A reconsideration reviewer must be someone who is-- (a) Qualified under Sec. 466.98 of this chapter to make an initial determination. (b) Not the individual who made the initial denial determination. (c) A specialist in the type of services under review, except where meeting this requirement would compromise the effectiveness or efficiency of QIO review.