42 CFR 423.1018 - Notice and effect of initial determinations.
(a) Notice of initial determination -
(1) General rule. CMS, as required under 422.756(f)(2), mails notice of an initial determination to the affected party, setting forth the basis or reasons for the determination, the effect of the determination, the party's right to a hearing, and information about where to file the request for a hearing.
(b) Effect of initial determination. An initial determination is binding unless -
(1) The affected party requests a hearing; or
(2) CMS revises its decision.