{"data":{"id":"us/42-cfr-478.38","jurisdiction":"us","citation":"42 CFR 478.38","heading":"Effect of a reconsidered determination.","body":"A QIO reconsidered determination is binding upon all parties to the reconsideration unless—\n(a) A hearing is requested in accordance with § 478.40 and a final decision rendered; or\n(b) The reconsidered determination is later reopened and revised in accordance with § 478.48.","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":"f4b114278a1459425ac54ac128ec55697c8a43d57cd5c4d781b37f8dc31f1d33","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-478.36","next":"us/42-cfr-478.40"},"notice":"GroundRules: Original legal text. Not legal advice."}