StacksVerified U.S. regulatory reference

42 CFR §478.18

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
  1. (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. (1)The QIO or the QIO subcontractor that made the initial determination.
    2. (2)An SSA District Office.
    3. (3)A Railroad Retirement Board Office, if the beneficiary is a railroad retiree.
  2. (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.
  3. (c)Expedited reconsideration. A request for an expedited reconsideration of a preadmission denial determination must be submitted directly to the QIO.