Title 42, Part 498 — Appeals Procedures for Determinations That Affect Participation in the Medicare Program and for Determinations That Affect the Participation of Icfs/iid and Certain Nfs in the Medicaid Program
56 sections
Section 498.1
Statutory basis.
Section 498.2
Definitions.
Section 498.3
Scope and applicability.
Section 498.4
NFs subject to appeals process in part 498.
Section 498.5
Appeal rights.
Section 498.10
Appointment of representatives.
Section 498.11
Authority of representatives.
Section 498.13
Fees for services of representatives.
Section 498.15
Charge for transcripts.
Section 498.17
Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.
Section 498.20
Notice and effect of initial determinations.
Section 498.22
Reconsideration.
Section 498.23
Withdrawal of request for reconsideration.
Section 498.24
Reconsidered determination.
Section 498.25
Notice and effect of reconsidered determination.
Section 498.30
Limitation on reopening.
Section 498.32
Notice and effect of reopening and revision.
Section 498.40
Request for hearing.
Section 498.42
Parties to the hearing.
Section 498.44
Designation of hearing official.
Section 498.45
Disqualification of Administrative Law Judge.
Section 498.47
Prehearing conference.
Section 498.48
Notice of prehearing conference.
Section 498.49
Conduct of prehearing conference.
Section 498.50
Record, order, and effect of prehearing conference.
Section 498.52
Time and place of hearing.
Section 498.53
Change in time and place of hearing.
Section 498.54
Joint hearings.
Section 498.56
Hearing on new issues.
Section 498.58
Subpoenas.
Section 498.60
Conduct of hearing.
Section 498.61
Evidence.
Section 498.62
Witnesses.
Section 498.63
Oral and written summation.
Section 498.64
Record of hearing.
Section 498.66
Waiver of right to appear and present evidence.
Section 498.68
Dismissal of request for hearing.
Section 498.69
Dismissal for abandonment.
Section 498.70
Dismissal for cause.
Section 498.71
Notice and effect of dismissal and right to request review.
Section 498.72
Vacating a dismissal of request for hearing.
Section 498.74
Administrative Law Judge's decision.
Section 498.76
Removal of hearing to Departmental Appeals Board.
Section 498.78
Remand by the Administrative Law Judge.
Section 498.79
Timeframes for deciding an enrollment appeal before an ALJ.
Section 498.80
Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
Section 498.82
Request for Departmental Appeals Board review.
Section 498.83
Departmental Appeals Board action on request for review.
Section 498.85
Procedures before the Departmental Appeals Board on review.
Section 498.86
Evidence admissible on review.
Section 498.88
Decision or remand by the Departmental Appeals Board.
Section 498.90
Effect of Departmental Appeals Board decision.
Section 498.95
Extension of time for seeking judicial review.
Section 498.100
Basis, timing, and authority for reopening an ALJ or Board decision.
Section 498.102
Revision of reopened decision.
Section 498.103
Notice and effect of revised decision.