42 CFR Part 498
PART 498—APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/IID AND CERTAIN NFs IN THE MEDICAID PROGRAM
- PART 498—APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/IID AND CERTAIN NFs IN THE MEDICAID PROGRAM
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter G—Standards and Certification
- Subpart A—General Provisions
- § 498.1 Statutory basis.
- § 498.2 Definitions.
- § 498.3 Scope and applicability.
- § 498.4 NFs subject to appeals process in part 498.
- § 498.5 Appeal rights.
- § 498.10 Appointment of representatives.
- § 498.11 Authority of representatives.
- § 498.13 Fees for services of representatives.
- § 498.15 Charge for transcripts.
- § 498.17 Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.
- Subpart B—Initial, Reconsidered, and Revised Determinations
- § 498.20 Notice and effect of initial determinations.
- § 498.22 Reconsideration.
- § 498.23 Withdrawal of request for reconsideration.
- § 498.24 Reconsidered determination.
- § 498.25 Notice and effect of reconsidered determination.
- Subpart C—Reopening of Initial or Reconsidered Determinations
- § 498.30 Limitation on reopening.
- § 498.32 Notice and effect of reopening and revision.
- Subpart D—Hearings
- § 498.40 Request for hearing.
- § 498.42 Parties to the hearing.
- § 498.44 Designation of hearing official.
- § 498.45 Disqualification of Administrative Law Judge.
- § 498.47 Prehearing conference.
- § 498.48 Notice of prehearing conference.
- § 498.49 Conduct of prehearing conference.
- § 498.50 Record, order, and effect of prehearing conference.
- § 498.52 Time and place of hearing.
- § 498.53 Change in time and place of hearing.
- § 498.54 Joint hearings.
- § 498.56 Hearing on new issues.
- § 498.58 Subpoenas.
- § 498.60 Conduct of hearing.
- § 498.61 Evidence.
- § 498.62 Witnesses.
- § 498.63 Oral and written summation.
- § 498.64 Record of hearing.
- § 498.66 Waiver of right to appear and present evidence.
- § 498.68 Dismissal of request for hearing.
- § 498.69 Dismissal for abandonment.
- § 498.70 Dismissal for cause.
- § 498.71 Notice and effect of dismissal and right to request review.
- § 498.72 Vacating a dismissal of request for hearing.
- § 498.74 Administrative Law Judge's decision.
- § 498.76 Removal of hearing to Departmental Appeals Board.
- § 498.78 Remand by the Administrative Law Judge.
- § 498.79 Timeframes for deciding an enrollment appeal before an ALJ.
- Subpart E—Departmental Appeals Board Review
- § 498.80 Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
- § 498.82 Request for Departmental Appeals Board review.
- § 498.83 Departmental Appeals Board action on request for review.
- § 498.85 Procedures before the Departmental Appeals Board on review.
- § 498.86 Evidence admissible on review.
- § 498.88 Decision or remand by the Departmental Appeals Board.
- § 498.90 Effect of Departmental Appeals Board decision.
- § 498.95 Extension of time for seeking judicial review.
- Subpart F—Reopening of Decisions Made by Administrative Law Judges or the Departmental Appeals Board
- § 498.100 Basis, timing, and authority for reopening an ALJ or Board decision.
- § 498.102 Revision of reopened decision.
- § 498.103 Notice and effect of revised decision.
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