{"data":{"id":"us/42-cfr-478.30","jurisdiction":"us","citation":"42 CFR 478.30","heading":"Evidence to be considered by the reconsideration reviewer.","body":"A reconsidered determination must be based on—\n(a) The information that led to the initial determination;\n(b) New information found in the medical records; or\n(c) Additional evidence submitted by a party.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER F—QUALITY IMPROVEMENT ORGANIZATIONS","PART 478—RECONSIDERATIONS AND APPEALS","Subpart B—Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"65f2be9dd2ebc661a2a30a67c497d3d94c9714246864de8e7d4d56289eb55b60","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-478.28","next":"us/42-cfr-478.32"},"notice":"GroundRules: Original legal text. Not legal advice."}