---
kind: "section"
citation: "42 C.F.R. § 478.18"
title: "42"
number: "478.18"
heading: "Location for submitting requests for reconsideration."
url: "https://uscodex.org/cfr/42/478.18"
---

# §478.18. Location for submitting requests for reconsideration.

- (a) **Beneficiaries.** Except as provided in [paragraph (c)](#c) of this section concerning requests for expedited reconsideration, a beneficiary who wishes to obtain a reconsideration must submit a written request to one of the following:
  - (1) **The QIO or the QIO subcontractor that made the initial determination.**
  - (2) **An SSA District Office.**
  - (3) **A Railroad Retirement Board Office, if the beneficiary is a railroad retiree.**
- (b) **Others.** A provider, physician or other practitioner that wishes to obtain reconsideration must submit a written request to the QIO or QIO subcontractor that made the initial determination.
- (c) **Expedited reconsideration.** A request for an expedited reconsideration of a preadmission denial determination must be submitted directly to the QIO.

## Notes

### Source

Source: 50 FR 15372, Apr. 17, 1985, unless otherwise noted. Redesignated at 64 FR 66279, Nov. 24, 1999.

### Authority

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).