42 CFR 498.25 - Notice and effect of reconsidered determination.

Regulations last checked for updates: Nov 22, 2024

Title 42 - Public Health last revised: Nov 19, 2024

View all text of Subpart B [§ 498.20 - § 498.25]

§ 498.25 - Notice and effect of reconsidered determination.

(a) Notice. (1) CMS mails notice of a reconsidered determination to the affected party.

(2) The notice gives the reasons for the determination.

(3) If the determination is adverse, the notice specifies the conditions or requirements of law or regulations that the affected party fails to meet, and informs the party of its right to a hearing.

(b) Effect. A reconsidered determination is binding unless—

(1) CMS or the OIG, as appropriate, further revises the revised determination; or

(2) The revised determination is reversed or modified by a hearing decision.

authority: 42 U.S.C. 1302,1320a,and

source: 52 FR 22446, June 12, 1987, unless otherwise noted.

cite as: 42 CFR 498.25