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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. Medicare Advantage Program
  7. Medicare Contract Determinations and Appeals

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Section
422.641

Contract determinations.

Section
422.644

Notice of contract determination.

Section
422.646

Effect of contract determination.

Section
422.660

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

Section
422.662

Request for hearing.

Section
422.664

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

Section
422.666

Designation of hearing officer.

Section
422.668

Disqualification of hearing officer.

Section
422.670

Time and place of hearing.

Section
422.672

Appointment of representatives.

Section
422.674

Authority of representatives.

Section
422.676

Conduct of hearing.

Section
422.678

Evidence.

Section
422.680

Witnesses.

Section
422.682

Witness lists and documents.

Section
422.684

Prehearing and summary judgment.

Section
422.686

Record of hearing.

Section
422.688

Authority of hearing officer.

Section
422.690

Notice and effect of hearing decision.

Section
422.692

Review by the Administrator.

Section
422.694

Effect of Administrator's decision.

Section
422.696

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

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