Integrated organization determination

Integrated organization determination means an organization determination that would otherwise be defined and covered, for a non-applicable integrated plan, as an organization determination under 422.566, an adverse benefit determination under 438.400, or an action under 431.201 of this chapter. An integrated organization determination is made by an applicable integrated plan and is subject to the integrated organization determination procedures in 422.629, 422.631, and 422.634.

Source

42 CFR § 422.561


Scoping language

As used in this subpart, unless the context indicates otherwise -

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