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US · guidance

CMS Pub. 100-04, ch. 30, § 300.3

The Responsibilities of the QIO

activein force · 2026-08-25 – presentas-observed

When an IRE notifies the QIO that a beneficiary has requested an expedited

reconsideration, the QIO must supply all information that the IRE needs to make its

expedited reconsideration as soon as possible, but no later than by close of business of the

day that the IRE notifies the QIO of the request for the reconsideration.

At the beneficiary’s request, the QIO must furnish the beneficiary with a copy of, or

access to, any documentation that it sends to the IRE. The QIO may charge the

beneficiary a reasonable amount to cover the costs of duplicating the documentation

and/or delivering it to the beneficiary. The QIO must accommodate the request by no

later than close of business of the first day after the material is requested.

History

(Rev. 1257, Issued: 05-25-07; Effective: 07-01-07; Implementation: 07-02-07)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
ae5edebfb3f1dbd044c1b1d48dea572535a02bef488a2edb719f66c0fada08a7
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