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- 42 CFR 423.551 · General provisions.
- 42 CFR 423.552 · Novation agreement requirements.
- 42 CFR 423.553 · Effect of leasing of a PDP sponsor's facilities.
- 42 CFR 423.558 · Scope.
- 42 CFR 423.560 · Definitions.
- 42 CFR 423.562 · General provisions.
- 42 CFR 423.564 · Grievance procedures.
- 42 CFR 423.566 · Coverage determinations.
- 42 CFR 423.568 · Standard timeframe and notice requirements for coverage determinations.
- 42 CFR 423.570 · Expediting certain coverage determinations.
- 42 CFR 423.572 · Timeframes and notice requirements for expedited coverage determinations.
- 42 CFR 423.576 · Effect of a coverage determination.
- 42 CFR 423.578 · Exceptions process.
- 42 CFR 423.580 · Right to a redetermination.
- 42 CFR 423.582 · Request for a standard redetermination.
- 42 CFR 423.584 · Expediting certain redeterminations.
- 42 CFR 423.586 · Opportunity to submit evidence.
- 42 CFR 423.590 · Timeframes and responsibility for making redeterminations.
- 42 CFR 423.600 · Reconsideration by an independent review entity (IRE).
- 42 CFR 423.602 · Notice of reconsideration determination by the independent review entity.
- 42 CFR 423.604 · Effect of a reconsideration determination.
- 42 CFR 423.610-423.634 · §§ 423.610-423.634 [Reserved]
- 42 CFR 423.636 · How a Part D plan sponsor must effectuate standard redeterminations, reconsiderations, or decisions.
- 42 CFR 423.638 · How a Part D plan sponsor must effectuate expedited redeterminations or reconsiderations.
- 42 CFR 423.641 · Contract determinations.
- 42 CFR 423.642 · Notice of contract determination.
- 42 CFR 423.643 · Effect of contract determination.
- 42 CFR 423.650 · Right to a hearing, burden of proof, standard of proof, and standards of review.
- 42 CFR 423.651 · Request for hearing.
- 42 CFR 423.652 · Postponement of effective date of a contract determination when a request for a hearing is filed timely.
- 42 CFR 423.653 · Designation of hearing officer.
- 42 CFR 423.654 · Disqualification of hearing officer.
- 42 CFR 423.655 · Time and place of hearing.
- 42 CFR 423.656 · Appointment of representatives.
- 42 CFR 423.657 · Authority of representatives.
- 42 CFR 423.658 · Conduct of hearing.
- 42 CFR 423.659 · Evidence.
- 42 CFR 423.660 · Witnesses.
- 42 CFR 423.661 · Witnesses lists and documents.
- 42 CFR 423.662 · Prehearing and summary judgment.
- 42 CFR 423.663 · Record of hearing.
- 42 CFR 423.664 · Authority of hearing officer.
- 42 CFR 423.665 · Notice and effect of hearing decision.
- 42 CFR 423.666 · Review by the Administrator.
- 42 CFR 423.667 · Effect of Administrator's decision.
- 42 CFR 423.668 · Reopening of a contract determination or decision of a hearing officer or the Administrator.
- 42 CFR 423.750 · Types of intermediate sanctions and civil money penalties.
- 42 CFR 423.752 · Basis for imposing intermediate sanctions and civil money penalties.
- 42 CFR 423.756 · Procedures for imposing intermediate sanctions and civil money penalties.
- 42 CFR 423.758 · Collection of civil money penalties imposed by CMS.
- 42 CFR 423.760 · Determinations regarding the amount of civil money penalties and assessment imposed by CMS.
- 42 CFR 423.762 · Settlement of penalties.
- 42 CFR 423.764 · Other applicable provisions.
- 42 CFR 423.771 · Basis and scope.
- 42 CFR 423.772 · Definitions.
- 42 CFR 423.773 · Requirements for eligibility.
- 42 CFR 423.774 · Eligibility determinations, redeterminations, and applications.
- 42 CFR 423.780 · Premium subsidy.
- 42 CFR 423.782 · Cost-sharing subsidy.
- 42 CFR 423.800 · Administration of subsidy program.
- 42 CFR 423.851 · Scope.
- 42 CFR 423.855 · Definitions.
- 42 CFR 423.859 · Assuring access to a choice of coverage.
- 42 CFR 423.863 · Submission and approval of bids.
- 42 CFR 423.867 · Rules regarding premiums.
- 42 CFR 423.871 · Contract terms and conditions.
- 42 CFR 423.875 · Payment to fallback plans.
- 42 CFR 423.880 · Basis and scope.
- 42 CFR 423.882 · Definitions.
- 42 CFR 423.884 · Requirements for qualified retiree prescription drug plans.
- 42 CFR 423.886 · Retiree drug subsidy amounts.
- 42 CFR 423.888 · Payment methods, including provision of necessary information.
- 42 CFR 423.890 · Appeals.
- 42 CFR 423.892 · Change of ownership.
- 42 CFR 423.894 · Construction.
- 42 CFR 423.900 · Basis and scope.
- 42 CFR 423.902 · Definitions.
- 42 CFR 423.904 · Eligibility determinations for low-income subsidies.
- 42 CFR 423.906 · General payment provisions.
- 42 CFR 423.907 · Treatment of territories.
- 42 CFR 423.908 · Phased-down State contribution to drug benefit costs assumed by Medicare.
- 42 CFR 423.910 · Requirements.
- 42 CFR 423.1000 · Basis and scope.
- 42 CFR 423.1002 · Definitions.
- 42 CFR 423.1004 · Scope and applicability.
- 42 CFR 423.1006 · Appeal rights.
- 42 CFR 423.1008 · Appointment of representatives.
- 42 CFR 423.1010 · Authority of representatives.
- 42 CFR 423.1012 · Fees for services of representatives.
- 42 CFR 423.1014 · Charge for transcripts.
- 42 CFR 423.1016 · Filing of briefs with the Administrative Law Judge or Departmental Appeals Board, and opportunity for rebuttal.
- 42 CFR 423.1018 · Notice and effect of initial determinations.
- 42 CFR 423.1020 · Request for hearing.
- 42 CFR 423.1022 · Parties to the hearing.
- 42 CFR 423.1024 · Designation of hearing official.
- 42 CFR 423.1026 · Disqualification of Administrative Law Judge.
- 42 CFR 423.1028 · Prehearing conference.
- 42 CFR 423.1030 · Notice of prehearing conference.
- 42 CFR 423.1032 · Conduct of prehearing conference.
- 42 CFR 423.1034 · Record, order, and effect of prehearing conference.