Section 478.42 - Submitting a request for a hearing(a)Where to submit the written request. A beneficiary who wants to obtain a hearing under § 478.40 must submit a written request to the OMHA office identified in the notice of the QIO reconsidered determination.(b)Time limit for submitting a request for a hearing.(1) The request for a hearing must be filed within 60 calendar days of receipt of the notice of the QIO reconsidered determination, unless the time is extended for good cause as provided in § 478.22 .(2) The date of receipt of the notice of the reconsidered determination is presumed to be 5 calendar days after the date on the notice, unless there is evidence to the contrary.(3) A request is considered filed on the date it is received by OMHA. 82 FR 5139 , Jan. 17, 2017