42 CFR 498.32 - Notice and effect of reopening and revision.

Regulations last checked for updates: Nov 25, 2024

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

View all text of Subpart C [§ 498.30 - § 498.32]

§ 498.32 - Notice and effect of reopening and revision.

(a) Notice. (1) CMS or the OIG, as appropriate, gives the affected party notice of reopening and of any revision of the reopened determination.

(2) The notice of revised determination states the basis or reason for the revised determination.

(3) If the determination is that a supplier or prospective supplier does not meet the conditions for coverage of its services, the notice specifies the conditions with respect to which the affected party fails to meet the requirements of law and regulations, and informs the party of its right to a hearing.

(b) Effect. A revised determination is binding unless

(1) The affected party requests a hearing before an ALJ; or

(2) CMS or the OIG further revises the revised determination.

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

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

cite as: 42 CFR 498.32