42 CFR § 426.447 - Issuance and notification of an ALJ's decision.
---
identifier: "/us/cfr/t42/s426.447"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 426.447 - Issuance and notification of an ALJ's decision."
title_number: 42
title_name: "Public Health"
section_number: "426.447"
section_name: "Issuance and notification of an ALJ's decision."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "426"
part_name: "REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh)"
regulatory_source: "68 FR 63716, Nov. 7, 2003, unless otherwise noted."
cfr_part: "426"
---
# 426.447 Issuance and notification of an ALJ's decision.
An ALJ must issue to all parties to the LCD review, within 90 days of closing the LCD review record to the taking of evidence, one of the following:
(a) A written decision, including a description of appeal rights.
(b) A written notification stating that a decision is pending, and an approximate date of issuance for the decision.