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- 42 CFR 422.620 · Notifying enrollees of hospital discharge appeal rights.
- 42 CFR 422.622 · Requesting immediate QIO review of the decision to discharge from the inpatient hospital.
- 42 CFR 422.624 · Notifying enrollees of termination of provider services.
- 42 CFR 422.626 · Fast-track appeals of service terminations to independent review entities (IREs).
- 42 CFR 422.629 · General requirements for applicable integrated plans.
- 42 CFR 422.630 · Integrated grievances.
- 42 CFR 422.631 · Integrated organization determinations.
- 42 CFR 422.632 · Continuation of benefits while the applicable integrated plan reconsideration is pending.
- 42 CFR 422.633 · Integrated reconsiderations.
- 42 CFR 422.634 · Effect.
- 42 CFR 422.641 · Contract determinations.
- 42 CFR 422.644 · Notice of contract determination.
- 42 CFR 422.646 · Effect of contract determination.
- 42 CFR 422.660 · Right to a hearing, burden of proof, standard of proof, and standards of review.
- 42 CFR 422.662 · Request for hearing.
- 42 CFR 422.664 · Postponement of effective date of a contract determination when a request for a hearing is filed timely.
- 42 CFR 422.666 · Designation of hearing officer.
- 42 CFR 422.668 · Disqualification of hearing officer.
- 42 CFR 422.670 · Time and place of hearing.
- 42 CFR 422.672 · Appointment of representatives.
- 42 CFR 422.674 · Authority of representatives.
- 42 CFR 422.676 · Conduct of hearing.
- 42 CFR 422.678 · Evidence.
- 42 CFR 422.680 · Witnesses.
- 42 CFR 422.682 · Witness lists and documents.
- 42 CFR 422.684 · Prehearing and summary judgment.
- 42 CFR 422.686 · Record of hearing.
- 42 CFR 422.688 · Authority of hearing officer.
- 42 CFR 422.690 · Notice and effect of hearing decision.
- 42 CFR 422.692 · Review by the Administrator.
- 42 CFR 422.694 · Effect of Administrator's decision.
- 42 CFR 422.696 · Reopening of a contract determination or decision of a hearing officer or the Administrator.
- 42 CFR 422.750 · Types of intermediate sanctions and civil money penalties.
- 42 CFR 422.752 · Basis for imposing intermediate sanctions and civil money penalties.
- 42 CFR 422.756 · Procedures for imposing intermediate sanctions and civil money penalties.
- 42 CFR 422.758 · Collection of civil money penalties imposed by CMS.
- 42 CFR 422.760 · Determinations regarding the amount of civil money penalties and assessment imposed by CMS.
- 42 CFR 422.762 · Settlement of penalties.
- 42 CFR 422.764 · Other applicable provisions.
- 42 CFR 422.1000 · Basis and scope.
- 42 CFR 422.1002 · Definitions.
- 42 CFR 422.1004 · Scope and applicability.
- 42 CFR 422.1006 · Appeal rights.
- 42 CFR 422.1008 · Appointment of representatives.
- 42 CFR 422.1010 · Authority of representatives.
- 42 CFR 422.1012 · Fees for services of representatives.
- 42 CFR 422.1014 · Charge for transcripts.
- 42 CFR 422.1016 · Filing of briefs with the Administrative Law Judge or Departmental Appeals Board, and opportunity for rebuttal.
- 42 CFR 422.1018 · Notice and effect of initial determinations.
- 42 CFR 422.1020 · Request for hearing.
- 42 CFR 422.1022 · Parties to the hearing.
- 42 CFR 422.1024 · Designation of hearing official.
- 42 CFR 422.1026 · Disqualification of Administrative Law Judge.
- 42 CFR 422.1028 · Prehearing conference.
- 42 CFR 422.1030 · Notice of prehearing conference.
- 42 CFR 422.1032 · Conduct of prehearing conference.
- 42 CFR 422.1034 · Record, order, and effect of prehearing conference.
- 42 CFR 422.1036 · Time and place of hearing.
- 42 CFR 422.1038 · Change in time and place of hearing.
- 42 CFR 422.1040 · Joint hearings.
- 42 CFR 422.1042 · Hearing on new issues.
- 42 CFR 422.1044 · Subpoenas.
- 42 CFR 422.1046 · Conduct of hearing.
- 42 CFR 422.1048 · Evidence.
- 42 CFR 422.1050 · Witnesses.
- 42 CFR 422.1052 · Oral and written summation.
- 42 CFR 422.1054 · Record of hearing.
- 42 CFR 422.1056 · Waiver of right to appear and present evidence.
- 42 CFR 422.1058 · Dismissal of request for hearing.
- 42 CFR 422.1060 · Dismissal for abandonment.
- 42 CFR 422.1062 · Dismissal for cause.
- 42 CFR 422.1064 · Notice and effect of dismissal and right to request review.
- 42 CFR 422.1066 · Vacating a dismissal of request for hearing.
- 42 CFR 422.1068 · Administrative Law Judge's decision.
- 42 CFR 422.1070 · Removal of hearing to Departmental Appeals Board.
- 42 CFR 422.1072 · Remand by the Administrative Law Judge.
- 42 CFR 422.1074 · Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
- 42 CFR 422.1076 · Request for Departmental Appeals Board review.
- 42 CFR 422.1078 · Departmental Appeals Board action on request for review.
- 42 CFR 422.1080 · Procedures before the Departmental Appeals Board on review.
- 42 CFR 422.1082 · Evidence admissible on review.
- 42 CFR 422.1084 · Decision or remand by the Departmental Appeals Board.
- 42 CFR 422.1086 · Effect of Departmental Appeals Board Decision.
- 42 CFR 422.1088 · Extension of time for seeking judicial review.
- 42 CFR 422.1090 · Basis, timing, and authority for reopening an Administrative Law Judge or Board decision.
- 42 CFR 422.1092 · Revision of reopened decision.
- 42 CFR 422.1094 · Notice and effect of revised decision.
- 42 CFR 422.2260 · Definitions.
- 42 CFR 422.2261 · Submission, review, and distribution of materials.
- 42 CFR 422.2262 · General communications materials and activities requirements.
- 42 CFR 422.2263 · General marketing requirements.
- 42 CFR 422.2264 · Beneficiary contact.
- 42 CFR 422.2265 · Websites.
- 42 CFR 422.2266 · Activities with healthcare providers or in the healthcare setting.
- 42 CFR 422.2267 · Required materials and content.
- 42 CFR 422.2272 · Licensing of marketing representatives and confirmation of marketing resources.
- 42 CFR 422.2274 · Agent, broker, and other third-party requirements.
- 42 CFR 422.2276 · Employer group retiree marketing.
- 42 CFR 422.2400 · Basis and scope.
- 42 CFR 422.2401 · Definitions.