Medicare Contract Determinations and Appeals

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Voluntary Medicare Prescription Drug Benefit
  7. Medicare Contract Determinations and Appeals

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Section
423.641

Contract determinations.

Section
423.642

Notice of contract determination.

Section
423.643

Effect of contract determination.

Section
423.650

Right to a hearing, burden of proof, standard of proof, and standards of review.

Section
423.651

Request for hearing.

Section
423.652

Postponement of effective date of a contract determination when a request for a hearing is filed timely.

Section
423.653

Designation of hearing officer.

Section
423.654

Disqualification of hearing officer.

Section
423.655

Time and place of hearing.

Section
423.656

Appointment of representatives.

Section
423.657

Authority of representatives.

Section
423.658

Conduct of hearing.

Section
423.659

Evidence.

Section
423.660

Witnesses.

Section
423.661

Witnesses lists and documents.

Section
423.662

Prehearing and summary judgment.

Section
423.663

Record of hearing.

Section
423.664

Authority of hearing officer.

Section
423.665

Notice and effect of hearing decision.

Section
423.666

Review by the Administrator.

Section
423.667

Effect of Administrator's decision.

Section
423.668

Reopening of a contract determination or decision of a hearing officer or the Administrator.