Title 42--Public Health

CHAPTER IV--HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

PART 473--RECONSIDERATIONS AND APPEALS


TEXT PDF473.10 Scope.
TEXT PDF473.12 Statutory basis.
TEXT PDF473.14 Applicability.
TEXT PDF473.15 PRO review of changes resulting from DRG validation.
TEXT PDF473.16 Right to reconsideration.
TEXT PDF473.18 Location for submitting requests for reconsideration.
TEXT PDF473.20 Time limits for requesting reconsideration.
TEXT PDF473.22 Good cause for late filing of a request for a reconsideration or hearing.
TEXT PDF473.24 Opportunity for a party to obtain and submit information.
TEXT PDF473.26 Delegation of the reconsideration function.
TEXT PDF473.28 Qualifications of a reconsideration reviewer.
TEXT PDF473.30 Evidence to be considered by the reconsideration reviewer.
TEXT PDF473.32 Time limits for issuance of the reconsidered determination.
TEXT PDF473.34 Notice of a reconsidered determination.
TEXT PDF473.36 Record of reconsideration.
TEXT PDF473.38 Effect of a reconsidered determination.
TEXT PDF473.40 Beneficiary's right to a hearing.
TEXT PDF473.42 Submitting a request for a hearing.
TEXT PDF473.44 Determining the amount in controversy for a hearing.
TEXT PDF473.46 Departmental Appeals Board and judicial review.
TEXT PDF473.48 Reopening and revision of a reconsidered determination or a hearing decision.



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