§ 457.1140 - Program specific review process: Core elements of review.  


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  • § 457.1140 Program specific review process: Core elements of review.

    In adopting the procedures for review of matters described in § 457.1130, a State must ensure that—

    (a) Reviews are conducted by an impartial person or entity in accordance with § 457.1150;

    (b) Review decisions are timely in accordance with § 457.1160;

    (c) Review decisions are written; and

    (d) Applicants and enrollees have an opportunity to—

    (1) Represent themselves or have representatives of their choosing in the review process;

    (2) Timely review their files and other applicable information relevant to the review of the decision;

    (3) Fully participate in the review process, whether the review is conducted in person or in writing, including by presenting supplemental information during the review process; and

    (4) Receive continued enrollment and benefits in accordance with § 457.1170.

    [66 FR 2687, Jan. 11, 2001, as amended at 89 FR 22877, Apr. 2, 2024]