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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER F: QUALITY IMPROVEMENT ORGANIZATIONS
PART 478: RECONSIDERATIONS AND APPEALS
Subpart B: Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals
478.42 - Submitting a request for a hearing.
(a) Where to submit the written request. A beneficiary who wants to obtain a hearing under ? 473.40 must submit a written request to one of the following:
(1) The office of the QIO or QIO subcontractor that made the initial determination.
(2) A SSA District Office.
(3) An office of the Office of Hearings and Appeals of SSA.
(4) An office of the Railroad Retirement Board, in the case of a beneficiary who is a railroad retiree.
(b) Time limit for submitting a request for a hearing. (1) The request for a hearing must be filed within 60 days of receipt of the notice of the QIO reconsidered determination, unless the time is extended for good cause as provided in ? 473.22.
(2) The date of receipt of the notice of the reconsidered determination is presumed to be five days after the date on the notice, unless there is a reasonable showing to the contrary.
(3) A request is considered filed on the date it is postmarked.
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