42 C.F.R. § 422.648   Reconsideration: Applicability.


Title 42 - Public Health


Title 42: Public Health
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart N—Medicare Contract Determinations and Appeals

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§ 422.648   Reconsideration: Applicability.

(a) Reconsideration is the first step for appealing a contract determination specified in §422.641.

(b) CMS reconsiders the specified determinations if the contract applicant or the MA organization files a written request in accordance with §422.650.

(c) Notice of any redetermination favorable to the MA organization applicant, including those resulting from a hearing or Administrator review conducted under this subpart, must be issued by July 15 for the contract in question to be effective on January 1 of the following year.

[63 FR 35113, June 26, 1998, as amended at 65 FR 40331, June 29, 2000; 70 FR 4741, Jan. 28, 2005]

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