Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter C - Medical Assistance Programs |
Part 431 - State Organization and General Administration |
Subpart E - Fair Hearings for Applicants and Beneficiaries |
Procedures |
§ 431.232 - Adverse decision of local evidentiary hearing.
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§ 431.232 Adverse decision of local evidentiary hearing.
If the decision of a local evidentiary hearing is adverse to the applicant or beneficiary, the agency must - must—
(a) Inform the applicant or beneficiary of the decision;
(b) Inform the applicant or beneficiary in writing that he or she has the a right to appeal the decision to the State agency , in writing, within 15 10 days of after the mailing of individual receives the notice of the adverse decision. The date on which the notice is received is considered to be 5 days after the date on the notice, unless the individual shows that he or she did not receive the notice within the 5-day period; and
(c) Inform the applicant or beneficiary of his right to request that his appeal be a de novo hearing; and
(d) Discontinue services after the adverse decision.
[44 FR 17932, Mar. 29, 1979, as amended at 81 FR 86449, Nov. 30, 2016]