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Code of Federal Regulations (Last Updated: April 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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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/IID and Certain Nfs in the Medicaid Program
| Subpart A - General Provisions |
| § 498.1 - Statutory basis. |
| § 498.2 - Definitions. |
| § 498.3 - Scope and applicability. |
| § 498.4 - NFs subject to appeals process in part 498. |
| § 498.5 - Appeal rights. |
| § 498.10 - Appointment of representatives. |
| § 498.11 - Authority of representatives. |
| § 498.13 - Fees for services of representatives. |
| § 498.15 - Charge for transcripts. |
| § 498.17 - Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal. |
| Subpart B - Initial, Reconsidered, and Revised Determinations |
| § 498.20 - Notice and effect of initial determinations. |
| § 498.22 - Reconsideration. |
| § 498.23 - Withdrawal of request for reconsideration. |
| § 498.24 - Reconsidered determination. |
| § 498.25 - Notice and effect of reconsidered determination. |
| Subpart C - Reopening of Initial or Reconsidered Determinations |
| § 498.30 - Limitation on reopening. |
| § 498.32 - Notice and effect of reopening and revision. |
| Subpart D - Hearings |
| § 498.40 - Request for hearing. |
| § 498.42 - Parties to the hearing. |
| § 498.44 - Designation of hearing official. |
| § 498.45 - Disqualification of Administrative Law Judge. |
| § 498.47 - Prehearing conference. |
| § 498.48 - Notice of prehearing conference. |
| § 498.49 - Conduct of prehearing conference. |
| § 498.50 - Record, order, and effect of prehearing conference. |
| § 498.52 - Time and place of hearing. |
| § 498.53 - Change in time and place of hearing. |
| § 498.54 - Joint hearings. |
| § 498.56 - Hearing on new issues. |
| § 498.58 - Subpoenas. |
| § 498.60 - Conduct of hearing. |
| § 498.61 - Evidence. |
| § 498.62 - Witnesses. |
| § 498.63 - Oral and written summation. |
| § 498.64 - Record of hearing. |
| § 498.66 - Waiver of right to appear and present evidence. |
| § 498.68 - Dismissal of request for hearing. |
| § 498.69 - Dismissal for abandonment. |
| § 498.70 - Dismissal for cause. |
| § 498.71 - Notice and effect of dismissal and right to request review. |
| § 498.72 - Vacating a dismissal of request for hearing. |
| § 498.74 - Administrative Law Judge's decision. |
| § 498.76 - Removal of hearing to Departmental Appeals Board. |
| § 498.78 - Remand by the Administrative Law Judge. |
| § 498.79 - Timeframes for deciding an enrollment appeal before an ALJ. |
| Subpart E - Departmental Appeals Board Review |
| § 498.80 - Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal. |
| § 498.82 - Request for Departmental Appeals Board review. |
| § 498.83 - Departmental Appeals Board action on request for review. |
| § 498.85 - Procedures before the Departmental Appeals Board on review. |
| § 498.86 - Evidence admissible on review. |
| § 498.88 - Decision or remand by the Departmental Appeals Board. |
| § 498.90 - Effect of Departmental Appeals Board decision. |
| § 498.95 - Extension of time for seeking judicial review. |
| Subpart F - Reopening of Decisions Made by Administrative Law Judges or the Departmental Appeals Board |
| § 498.100 - Basis, timing, and authority for reopening an ALJ or Board decision. |
| § 498.102 - Revision of reopened decision. |
| § 498.103 - Notice and effect of revised decision. |