42 C.F.R. § 422.696 Reopening of contract or reconsidered determination or decision of a hearing officer or the Administrator.
Title 42 - Public Health
(a) Initial or reconsidered determination. CMS may reopen and revise an initial or reconsidered determination upon its own motion within one year of the date of the notice of determination. (b) Decision of hearing officer. A decision of a hearing officer that is unfavorable to any party and is otherwise final may be reopened and revised by the hearing officer upon the officer's own motion within one year of the notice of the hearing decision. Another hearing officer designated by CMS may reopen and revise the decision if the hearing officer who issued the decision is unavailable. (c) Decision of Administrator. A decision by the Administrator that is otherwise final may be reopened and revised by the Administrator upon the Administrator's own motion within one year of the notice of the Administrator's decision. (d) Notices. (1) The notice of reopening and of any revisions following the reopening is mailed to the parties. (2) The notice of revision specifies the reasons for revisions.
Title 42: Public Health
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart N—Medicare Contract Determinations and Appeals
§ 422.696 Reopening of contract or reconsidered determination or decision of a hearing officer or the Administrator.
