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- Code of Federal Regulations
- C.F.R. Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
- Subpart U—Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
42 C.F.R. § 423.1968
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Source: 82 FR 5125, Jan. 17, 2017
Table of Contents
Subpart U—Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
- §423.1968 Scope.
- §423.1970-423.1976 [Reserved]
- §423.1978 Reopening determinations and decisions.
- §423.1980 Reopening of coverage determinations, redeterminations, reconsiderations, decisions, and reviews.
- §423.1982 Notice of a revised determination or decision.
- §423.1984 Effect of a revised determination or decision.
- §423.1986 Good cause for reopening.
- §423.1990 Expedited access to judicial review.
- §423.2000 Hearing before an ALJ and decision by an ALJ or attorney adjudicator: General rule.
- §423.2002 Right to an ALJ hearing.
- §423.2004 Right to a review of IRE notice of dismissal.
- §423.2006 Amount in controversy required for an ALJ hearing and judicial review.
- §423.2008 Parties to the proceedings on a request for an ALJ hearing.
- §423.2010 When CMS, the IRE, or Part D plan sponsors may participate in the proceedings on a request for an ALJ hearing.
- §423.2014 Request for an ALJ hearing or a review of an IRE dismissal.
- §423.2016 Timeframes for deciding an appeal of an IRE reconsideration.
- §423.2018 Submitting evidence.
- §423.2020 Time and place for a hearing before an ALJ.
- §423.2022 Notice of a hearing before an ALJ.
- §423.2024 Objections to the issues.
- §423.2026 Disqualification of the ALJ or attorney adjudicator.
- §423.2030 ALJ hearing procedures.
- §423.2032 Issues before an ALJ or attorney adjudicator.
- §423.2034 Requesting information from the IRE.
- §423.2036 Description of an ALJ hearing process.
- §423.2038 Deciding a case without a hearing before an ALJ.
- §423.2040 Prehearing and posthearing conferences.
- §423.2042 The administrative record.
- §423.2044 Consolidated proceedings.
- §423.2046 Notice of an ALJ or attorney adjudicator decision.
- §423.2048 The effect of an ALJ's or attorney adjudicator's decision.
- §423.2050 Removal of a hearing request from OMHA to the Council.
- §423.2052 Dismissal of a request for a hearing before an ALJ or request for review of an IRE dismissal.
- §423.2054 Effect of dismissal of a request for a hearing or request for review of an IRE's dismissal.
- §423.2056 Remands of requests for hearing and requests for review.
- §423.2058 Effect of a remand.
- §423.2062 Applicability of policies not binding on the ALJ and Council.
- §423.2063 Applicability of laws, regulations, CMS Rulings, and precedential decisions.
- §423.2100 Medicare Appeals Council review: general.
- §423.2102 Request for Council review when ALJ or attorney adjudicator issues decision or dismissal.
- §423.2106 Where a request for review may be filed.
- §423.2108 Council Actions when request for review is filed.
- §423.2110 Council reviews on its own motion.
- §423.2112 Content of request for review.
- §423.2114 Dismissal of request for review.
- §423.2116 Effect of dismissal of request for Council review or request for hearing.
- §423.2118 Obtaining evidence from the Council.
- §423.2120 Filing briefs with the Council.
- §423.2122 What evidence may be submitted to the Council.
- §423.2124 Oral argument.
- §423.2126 Case remanded by the Council.
- §423.2128 Action of the Council.
- §423.2130 Effect of the Council's decision.
- §423.2134 Extension of time to file action in Federal District Court.
- §423.2136 Judicial review.
- §423.2138 Case remanded by a Federal District Court.
- §423.2140 Council Review of ALJ or attorney adjudicator decision in a case remanded by a Federal District Court.