Notice and effect of initial determinations.

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Medicare Advantage Program
  7. Appeal procedures for Civil Money Penalties
  8. Notice and effect of initial determinations.

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§ 422.1018 Notice and effect of initial determinations.

(a) Notice of initial determination. CMS, as required under 422.756(f)(2), mails notice of an initial determination to the affected party, setting forth the basis or reasons for the determination, the effect of the determination, and the party's right to a hearing, and information about where to file the request for hearing.

(b) Effect of initial determination. An initial determination is binding unless -

(1) The affected party requests a hearing; or

(2) CMS revises its decision.


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