---
kind: "section"
citation: "42 C.F.R. § 478.36"
title: "42"
number: "478.36"
heading: "Record of reconsideration."
url: "https://uscodex.org/cfr/42/478.36"
---

# §478.36. Record of reconsideration.

- (a) **QIO requirements.** A QIO must maintain the record of its reconsideration until the later of the following:
  - (1) **Four years after the date on the notice of the QIO's reconsidered determination.**
  - (2) **Completion of litigation and the passage of the time period for filing all appeals.**
- (b) **Contents of the record.** The record of the reconsideration must include:
  - (1) **The initial determination.**
  - (2) **The basis for the initial determination.**
  - (3) **Documentation of the date of the receipt of the request for reconsideration.**
  - (4) **The detailed basis for the reconsidered determination.**
  - (5) **Evidence submitted by the parties.**
  - (6) **A copy of the notice of the reconsidered determination that was provided to the parties.**
  - (7) Documentation of the delivery or mailing and, if appropriate, the receipt of the notice of the reconsidered determination by the parties.
- (c) **Confidentiality.** The record of a QIO reconsideration is subject to prohibitions against disclosure of information as specified in [section 1160](/cfr/42/1160.md) of the Act.

## 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).