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Code of Federal Regulations (Last Updated: July 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 C - Medical Assistance Programs |
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Part 431 - State Organization and General Administration |
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Subpart E - Fair Hearings for Applicants and Beneficiaries |
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Procedures |
§ 431.241 - Matters to be considered at the hearing.
Latest version.
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§ 431.241 Matters to be considered at the hearing.
The hearing must cover - cover—
(a) Agency action or failure to act with reasonable promptness on a claim for services, including both initial and subsequent decisions regarding eligibility;
(c)(b) Agency decisions regarding changes in the type or amount of services;
Any matter described in § 431.220(a)(1) for which an individual requests a fair hearing.
(b) A decision by a skilled nursing facility or nursing facility to transfer or discharge a resident; and
d(
c) A State determination with regard to the preadmission screening and annual resident review requirements of section 1919(e)(7) of the Act.
[57 FR 56505, Nov. 30, 1992, as amended at 81 FR 86449, Nov. 30, 2016] ]