---
kind: "section"
citation: "42 C.F.R. § 411.2"
title: "42"
number: "411.2"
heading: "Conclusive effect of QIO determinations on payment of claims."
url: "https://uscodex.org/cfr/42/411.2"
---

# §411.2. Conclusive effect of QIO determinations on payment of claims.


If a utilization and quality control quality improvement organization (QIO) has assumed review responsibility, in accordance with [part 466](/cfr/42/part466.md) of this chapter, for services furnished to Medicare beneficiaries, Medicare payment is not made for those services unless the conditions of [subpart C of part 466](/cfr/42/part466-subpartC.md) of this chapter are met.


## Notes

### Authority

Authority: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.

### Source

Source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.