GroundRules
42 CFR 426.484: Mandatory provisions of a Board decision.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 426—REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS
- Subpart D—Review of an LCD
(a) Findings. A Board decision must include at least one of the following:
(1) A statement upholding the part(s) of the ALJ decision named in the appeal.
(2) A statement reversing the part(s) of the ALJ decision named in the appeal.
(3) A statement modifying the part(s) of the ALJ decision named in the appeal.
(4) A statement dismissing the appeal of an ALJ decision and a rationale for the dismissal.
(b) Other information. A Board decision must include all of the following:
(1) The date of issuance.
(2) The docket number of the review of the ALJ decision.
(3) A summary of the ALJ's decision.
(4) A rationale for the basis of the Board's decision.
Collected 2026-08-27T02:26:11Z. Source file · JSON