42 C.F.R. § 478.30 Evidence to be considered by the reconsideration reviewer.
Title 42 - Public Health
A reconsidered determination must be based on— (a) The information that led to the initial determination; (b) New information found in the medical records; or (c) Additional evidence submitted by a party.
Title 42: Public Health
PART 478—RECONSIDERATIONS AND APPEALS
Subpart B—Utilization and Quality Control Quality Improvement Organization (QIO) Reconsiderations and Appeals
§ 478.30 Evidence to be considered by the reconsideration reviewer.
