Code of Federal Regulations · Subpart
Subpart M — Grievances, Organization Determinations And Appeals
42 C.F.R. pt. 422, subpt. M
- § 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 (council) 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)
- § 422.629 General Requirements For Applicable Integrated Plans
- § 422.630 Integrated Grievances
- § 422.631 Integrated Organization Determinations
- § 422.632 Continuation Of Benefits While The Applicable Integrated Plan Reconsideration Is Pending
- § 422.633 Integrated Reconsiderations
- § 422.634 Effect