US · guidance
CMS Pub. 100-04, ch. 30, § 260.4.1.1
Timeframe for Requesting an Expedited Determination
A beneficiary who receives a NOMNC and disagrees with the termination of services
may request an expedited determination by the appropriate QIO for the state where the
services were provided. The beneficiary must contact the QIO by noon of the day before
the effective date on the NOMNC. The beneficiary may contact the QIO by telephone or
in writing. If the QIO is unable to accept the request, the beneficiary must submit the
request by noon of the next day the QIO is available.
History
(Rev. 2711, Issued: 05-24-13, Effective: 08-26-13, Implementation: 08-26-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5be58a9be84e411a84d9799483f36c7ceac8eb96b92a67977eb08e0be16d6a68
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