42 C.F.R. PART 498--APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/MR AND CERTAIN NFs IN THE MEDICAID PROGRAM
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER G--STANDARDS AND CERTIFICATION
PART 498--APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/MR AND CERTAIN NFs IN THE MEDICAID PROGRAM
Subpart A--GENERAL PROVISIONS
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NFs subject to appeals process in part 498.
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Appointment of representatives.
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Authority of representatives.
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Fees for services of representatives.
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Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.
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Subpart B--INITIAL, RECONSIDERED, AND REVISED DETERMINATIONS
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Notice and effect of initial determinations.
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Withdrawal of request for reconsideration.
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Reconsidered determination.
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Notice and effect of reconsidered determination.
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Subpart C--REOPENING OF INITIAL OR RECONSIDERED DETERMINATIONS
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Notice and effect of reopening and revision.
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Subpart D--HEARINGS
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Designation of hearing official.
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Disqualification of Administrative Law Judge.
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Notice of prehearing conference.
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Conduct of prehearing conference.
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Record, order, and effect of prehearing conference.
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Time and place of hearing.
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Change in time and place of hearing.
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Oral and written summation.
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Waiver of right to appear and present evidence.
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Dismissal of request for hearing.
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Dismissal for abandonment.
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Notice and effect of dismissal and right to request review.
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Vacating a dismissal of request for hearing.
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Administrative Law Judge's decision.
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Removal of hearing to Departmental Appeals Board.
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Remand by the Administrative Law Judge.
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Subpart E--DEPARTMENTAL APPEALS BOARD REVIEW
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Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
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Request for Departmental Appeals Board review.
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Departmental Appeals Board action on request for review.
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Procedures before the Departmental Appeals Board on review.
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Evidence admissible on review.
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Decision or remand by the Departmental Appeals Board.
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Effect of Departmental Appeals Board decision.
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Extension of time for seeking judicial review.
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Subpart F--REOPENING OF DECISIONS MADE BY ADMINISTRATIVE LAW JUDGES OR THE DEPARTMENTAL APPEALS BOARD
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Basis, timing, and authority for reopening an ALJ or Board decision.
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Revision of reopened decision.
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Notice and effect of revised decision.
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