42 CFR 422, Subpart M - Grievances, Organization Determinations and Appeals
- § 422.560 — Basis and scope.
- § 422.561 — Definitions.
- § 422.562 — General provisions.
- § 422.564 — Grievance procedures.
- § 422.566 — Organization determinations.
- § 422.568 — Standard timeframes and notice requirements for organization determinations.
- § 422.570 — Expediting certain organization determinations.
- § 422.572 — Timeframes and notice requirements for expedited organization determinations.
- § 422.574 — Parties to the organization determination.
- § 422.576 — Effect of an organization determination.
- § 422.578 — Right to a reconsideration.
- § 422.580 — Reconsideration defined.
- § 422.582 — Request for a standard reconsideration.
- § 422.584 — Expediting certain reconsiderations.
- § 422.586 — Opportunity to submit evidence.
- § 422.590 — Timeframes and responsibility for reconsiderations.
- § 422.592 — Reconsideration by an independent entity.
- § 422.594 — Notice of reconsidered determination by the independent entity.
- § 422.596 — Effect of a reconsidered determination.
- § 422.600 — Right to a hearing.
- § 422.602 — Request for an ALJ hearing.
- § 422.608 — Medicare Appeals Council (MAC) review.
- § 422.612 — Judicial review.
- § 422.616 — Reopening and revising determinations and decisions.
- § 422.618 — How an MA organization must effectuate standard reconsidered determinations or decisions.
- § 422.619 — How an MA organization must effectuate expedited reconsidered determinations.
- § 422.620 — Notifying enrollees of hospital discharge appeal rights.
- § 422.622 — Requesting immediate QIO review of the decision to discharge from the inpatient hospital.
- § 422.624 — Notifying enrollees of termination of provider services.
- § 422.626 — Fast-track appeals of service terminations to independent review entities (IREs).
Title 42 published on 2012-10-01
no entries appear in the Federal Register after this date.
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.
