42 CFR 478.26 - Delegation of the reconsideration function.

Code of Federal Regulations - Title 42: Public Health

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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

478.26 - Delegation of the reconsideration function.

A QIO may delegate the authority to reconsider an initial determination to a nonfacility subcontractor, including the organization that made the initial determination as a QIO subcontractor.

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