{"data":{"id":"us/42-cfr-423.2600","jurisdiction":"us","citation":"42 CFR 423.2600","heading":"Payment appeals.","body":"Medicare Part D plan sponsors may appeal program integrity prescription drug event record review audit determinations.\n(a) Issues eligible for appeal. (1) CMS's application of Part D policy(ies).\n(2) Factual or data errors.\n(b) Issues ineligible for appeal. (1) The Part D plan sponsor's failure to submit documentation in the timeframes specified by CMS during the audit.\n(2) The program integrity prescription drug event record review audit methodology.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT","Subpart Z—Appeals Process for Part D Program Integrity Prescription Drug Event Record Review Audits"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"cf06834b4999c728fd2a8453b5cc76c2d988a1eed7602bc171470ac017c017a9","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-423.2536","next":"us/42-cfr-423.2605"},"notice":"GroundRules: Original legal text. Not legal advice."}