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Code of Federal Regulations (Last Updated: November 8, 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 B - Medicare Program |
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Part 417 - Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans |
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Subpart Q - Beneficiary Appeals |
| § 417.600 - Basis and scope. |
| § 417.602 - Definitions. |
| § 417.604 - General provisions. |
| § 417.605 - Immediate QIO review of a determination of noncoverage of inpatient hospital care. |
| § 417.606 - Organization determinations. |
| § 417.608 - Notice of adverse organization determination. |
| § 417.609 - Expediting certain organization determinations. |
| § 417.610 - Parties to the organization determination. |
| § 417.612 - Effect of organization determination. |
| § 417.614 - Right to reconsideration. |
| § 417.616 - Request for reconsideration. |
| § 417.617 - Expediting certain reconsiderations. |
| § 417.618 - Opportunity to submit evidence. |
| § 417.620 - Responsibility for reconsiderations; time limits. |
| § 417.622 - Reconsidered determination. |
| § 417.624 - Notice of reconsidered determination. |
| § 417.626 - Effect of reconsidered determination. |
| § 417.630 - Right to a hearing. |
| § 417.632 - Request for hearing. |
| § 417.634 - Departmental Appeals Board (DAB) review. |
| § 417.636 - Court review. |
| § 417.638 - Reopening determinations and decisions. |