§ 422.654 - Reconsidered determination.

Latest version.

A reconsidered determination is a new determination that—

(a) Is based on a review of the contract determination, the evidence and findings upon which that was based, and any other written evidence submitted before notice of the reconsidered determination is mailed, including facts relating to the status of the MA organization subsequent to the contract determination; and

(b) Affirms, reverses, or modifies the initial determination.

                    
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