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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