[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: 42CFR478.38]



[Page 480]

 

                         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.  478.38  Effect of a reconsidered determination.



    A QIO reconsidered determination is binding upon all parties to the 

reconsideration unless--

    (a) A hearing is requested in accordance with Sec.  473.40 and a 

final decision rendered; or

    (b) The reconsidered determination is later reopened and revised in 

accordance with Sec.  473.48.



[50 FR 15372, Apr. 17, 1985; 50 FR 41887, Oct. 16, 1985, as amended at 

62 FR 25855, May 12, 1997; 62 FR 49938, Sept. 24, 1997. Redesignated at 

64 FR 66279, Nov. 24, 1999]