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Title 42--Public Health
CHAPTER IV--HEALTH CAREFINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PART 478--RECONSIDERATIONS AND APPEALS
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 | 478.10 | Scope. |
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| 478.12 | Statutory basis. |
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| 478.14 | Applicability. |
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| 478.15 | PRO review of changes resulting from DRG validation. |
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| 478.16 | Right to reconsideration. |
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| 478.18 | Location for submitting requests for reconsideration. |
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| 478.20 | Time limits for requesting reconsideration. |
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| 478.22 | Good cause for late filing of a request for a reconsideration or hearing. |
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| 478.24 | Opportunity for a party to obtain and submit information. |
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| 478.26 | Delegation of the reconsideration function. |
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| 478.28 | Qualifications of a reconsideration reviewer. |
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| 478.30 | Evidence to be considered by the reconsideration reviewer. |
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| 478.32 | Time limits for issuance of the reconsidered determination. |
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| 478.34 | Notice of a reconsidered determination. |
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| 478.36 | Record of reconsideration. |
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| 478.38 | Effect of a reconsidered determination. |
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| 478.40 | Beneficiary's right to a hearing. |
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| 478.42 | Submitting a request for a hearing. |
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| 478.44 | Determining the amount in controversy for a hearing. |
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| 478.46 | Departmental Appeals Board and judicial review. |
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| 478.48 | Reopening and revision of a reconsidered determination or a hearing decision. |
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