42 CFR § 483.204 - Provision of a hearing and appeal system.
---
identifier: "/us/cfr/t42/s483.204"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 483.204 - Provision of a hearing and appeal system."
title_number: 42
title_name: "Public Health"
section_number: "483.204"
section_name: "Provision of a hearing and appeal system."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "483"
part_name: "REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1320a-7, 1395i, 1395hh and 1396r."
cfr_part: "483"
---
# 483.204 Provision of a hearing and appeal system.
(a) Each State must provide a system for:
(1) A resident of a SNF or a NF to appeal a notice from the SNF or NF of intent to discharge or transfer the resident; and
(2) An individual who has been adversely affected by any PASARR determination made by the State in the context of either a preadmission screening or an annual resident review under subpart C of part 483 to appeal that determination.
(b) The State must provide an appeals system that meets the requirements of this subpart, § 483.15(h), and part 431 subpart E of this chapter.
[57 FR 56506, Nov. 30, 1992; 58 FR 25784, Apr. 28, 1993, as amended at 81 FR 68871, Oct. 4, 2016]