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C.F.R. Title 42 Chapter IV Subchapter B Part 423 Subpart M

Code of Federal Regulations · Subpart

Subpart M — Grievances, Coverage Determinations, Redeterminations, And Reconsiderations

42 C.F.R. pt. 423, subpt. M

  • § 423.558 Scope
  • § 423.560 Definitions
  • § 423.562 General Provisions
  • § 423.564 Grievance Procedures
  • § 423.566 Coverage Determinations
  • § 423.568 Standard Timeframe And Notice Requirements For Coverage Determinations
  • § 423.570 Expediting Certain Coverage Determinations
  • § 423.572 Timeframes And Notice Requirements For Expedited Coverage Determinations
  • § 423.576 Effect Of A Coverage Determination
  • § 423.578 Exceptions Process
  • § 423.580 Right To A Redetermination
  • § 423.582 Request For A Standard Redetermination
  • § 423.584 Expediting Certain Redeterminations
  • § 423.586 Opportunity To Submit Evidence
  • § 423.590 Timeframes And Responsibility For Making Redeterminations
  • § 423.600 Reconsideration By An Independent Review Entity (ire)
  • § 423.602 Notice Of Reconsideration Determination By The Independent Review Entity
  • § 423.604 Effect Of A Reconsideration Determination
  • § 423.636 How A Part D Plan Sponsor Must Effectuate Standard Redeterminations, Reconsiderations, Or Decisions
  • § 423.638 How A Part D Plan Sponsor Must Effectuate Expedited Redeterminations Or Reconsiderations
  • § 423.610-423.634 §§ 423.610-423.634 [reserved]
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