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- 42 CFR 405.1128 · Action of the Council.
- 42 CFR 405.1130 · Effect of the Council's decision.
- 42 CFR 405.1132 · Request for escalation to Federal court.
- 42 CFR 405.1134 · Extension of time to file action in Federal district court.
- 42 CFR 405.1136 · Judicial review.
- 42 CFR 405.1138 · Case remanded by a Federal district court.
- 42 CFR 405.1140 · Council review of ALJ decision in a case remanded by a Federal district court.
- 42 CFR 405.1200 · Notifying beneficiaries of provider service terminations.
- 42 CFR 405.1202 · Expedited determination procedures.
- 42 CFR 405.1204 · Expedited reconsiderations.
- 42 CFR 405.1205 · Notifying beneficiaries of hospital discharge appeal rights.
- 42 CFR 405.1206 · Expedited determination procedures for inpatient hospital care.
- 42 CFR 405.1208 · Hospital requests expedited QIO review.
- 42 CFR 405.1210 · Notifying eligible beneficiaries of appeal rights when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
- 42 CFR 405.1211 · Expedited determination procedures when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
- 42 CFR 405.1212 · Expedited reconsideration procedures regarding Part A coverage when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
- 42 CFR 405.1801 · Introduction.
- 42 CFR 405.1803 · Contractor determination and notice of amount of program reimbursement.
- 42 CFR 405.1804 · Matters not subject to administrative and judicial review under prospective payment.
- 42 CFR 405.1805 · Parties to contractor determination.
- 42 CFR 405.1807 · Effect of contractor determination.
- 42 CFR 405.1809 · Contractor hearing procedures.
- 42 CFR 405.1811 · Right to contractor hearing; contents of, and adding issues to, hearing request.
- 42 CFR 405.1813 · Good cause extension of time limit for requesting a contractor hearing.
- 42 CFR 405.1814 · Contractor hearing officer jurisdiction.
- 42 CFR 405.1815 · Parties to proceedings before the contractor hearing officer(s).
- 42 CFR 405.1817 · Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers.
- 42 CFR 405.1819 · Conduct of contractor hearing.
- 42 CFR 405.1821 · Prehearing discovery and other proceedings prior to the contractor hearing.
- 42 CFR 405.1823 · Evidence at contractor hearing.
- 42 CFR 405.1825 · Witnesses at contractor hearing.
- 42 CFR 405.1827 · Record of proceedings before the contractor hearing officer(s).
- 42 CFR 405.1829 · Scope of authority of contractor hearing officer(s).
- 42 CFR 405.1831 · Contractor hearing decision.
- 42 CFR 405.1832 · Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim.
- 42 CFR 405.1833 · Effect of contractor hearing decision.
- 42 CFR 405.1834 · CMS reviewing official procedure and Administrator review.
- 42 CFR 405.1835 · Right to Board hearing; contents of, and adding issues to, hearing request.
- 42 CFR 405.1836 · Good cause extension of time limit for requesting a Board hearing.
- 42 CFR 405.1837 · Group appeals.
- 42 CFR 405.1839 · Amount in controversy.
- 42 CFR 405.1840 · Board jurisdiction.
- 42 CFR 405.1842 · Expedited judicial review.
- 42 CFR 405.1843 · Parties to proceedings in a Board appeal.
- 42 CFR 405.1845 · Composition of Board; hearings, decisions, and remands.
- 42 CFR 405.1847 · Disqualification of Board members.
- 42 CFR 405.1849 · Establishment of time and place of hearing by the Board.
- 42 CFR 405.1851 · Conduct of Board hearing.
- 42 CFR 405.1853 · Board proceedings prior to any hearing; discovery.
- 42 CFR 405.1855 · Evidence at Board hearing.
- 42 CFR 405.1857 · Subpoenas.
- 42 CFR 405.1859 · Witnesses.
- 42 CFR 405.1861 · Oral argument and written allegations.
- 42 CFR 405.1863 · Administrative policy at issue.
- 42 CFR 405.1865 · Record of administrative proceedings.
- 42 CFR 405.1867 · Scope of Board's legal authority.
- 42 CFR 405.1868 · Board actions in response to failure to follow Board rules.
- 42 CFR 405.1869 · Scope of Board's authority in a hearing decision.
- 42 CFR 405.1871 · Board hearing decision.
- 42 CFR 405.1873 · Board review of compliance with the reimbursement requirement of an appropriate cost report claim.
- 42 CFR 405.1875 · Administrator review.
- 42 CFR 405.1877 · Judicial review.
- 42 CFR 405.1881 · Appointment of representative.
- 42 CFR 405.1883 · Authority of representative.
- 42 CFR 405.1885 · Reopening a contractor determination or reviewing entity decision.
- 42 CFR 405.1887 · Notice of reopening; effect of reopening.
- 42 CFR 405.1889 · Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.
- 42 CFR 405.2100-405.2101 · §§ 405.2100-405.2101 [Reserved]
- 42 CFR 405.2102 · Definitions.
- 42 CFR 405.2110 · Designation of ESRD networks.
- 42 CFR 405.2111 · [Reserved]
- 42 CFR 405.2112 · ESRD network organizations.
- 42 CFR 405.2113 · Medical review board.
- 42 CFR 405.2114 · [Reserved]
- 42 CFR 405.2131-405.2184 · §§ 405.2131-405.2184 [Reserved]
- 42 CFR 405.2400 · Basis.
- 42 CFR 405.2401 · Scope and definitions.
- 42 CFR 405.2402 · Rural health clinic basic requirements.
- 42 CFR 405.2403 · Rural health clinic content and terms of the agreement with the Secretary.
- 42 CFR 405.2404 · Termination of rural health clinic agreements.
- 42 CFR 405.2410 · Application of Part B deductible and coinsurance.
- 42 CFR 405.2411 · Scope of benefits.
- 42 CFR 405.2412 · Physicians' services.
- 42 CFR 405.2413 · Services and supplies incident to a physician's services.
- 42 CFR 405.2414 · Nurse practitioner, physician assistant, and certified nurse midwife services.
- 42 CFR 405.2415 · Incident to services and direct supervision.
- 42 CFR 405.2416 · Visiting nurse services.
- 42 CFR 405.2417 · Visiting nurse services: Determination of shortage of agencies.
- 42 CFR 405.2430 · Basic requirements.
- 42 CFR 405.2434 · Content and terms of the agreement.
- 42 CFR 405.2436 · Termination of agreement.
- 42 CFR 405.2440 · Conditions for reinstatement after termination by CMS.
- 42 CFR 405.2442 · Notice to the public.
- 42 CFR 405.2444 · Change of ownership.
- 42 CFR 405.2446 · Scope of services.
- 42 CFR 405.2448 · Preventive primary services.
- 42 CFR 405.2449 · Preventive services.
- 42 CFR 405.2450 · Clinical psychologist, clinical social worker, marriage and family therapist, and mental health counselor services.
- 42 CFR 405.2452 · Services and supplies incident to clinical psychologist, clinical social worker, marriage and family therapist, and mental health counselor services.
- 42 CFR 405.2460 · Applicability of general payment exclusions.