42 CFR §478.36
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- (a)QIO requirements. A QIO must maintain the record of its reconsideration until the later of the following:
- (b)Contents of the record. The record of the reconsideration must include:
- (1)The initial determination.
- (2)The basis for the initial determination.
- (3)Documentation of the date of the receipt of the request for reconsideration.
- (4)The detailed basis for the reconsidered determination.
- (5)Evidence submitted by the parties.
- (6)A copy of the notice of the reconsidered determination that was provided to the parties.
- (7)Documentation of the delivery or mailing and, if appropriate, the receipt of the notice of the reconsidered determination by the parties.
- (c)Confidentiality. The record of a QIO reconsideration is subject to prohibitions against disclosure of information as specified in section 1160 of the Act.