Home/CFR/Title 42/Part 498
FEDERAL · 42 CFR

Part 498 — Appeals Procedures for Determinations That Affect Participation in the Medicare Program and for Determinations That Affect the Participation of ICFs/IID and Certain NFs in the Medicaid Program

56 sections · Title 42: Public Health

§ 498.1Statutory basis.
§ 498.2Definitions.
§ 498.3Scope and applicability.
§ 498.4NFs subject to appeals process in part 498.
§ 498.5Appeal rights.
§ 498.10Appointment of representatives.
§ 498.11Authority of representatives.
§ 498.13Fees for services of representatives.
§ 498.15Charge for transcripts.
§ 498.17Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.
§ 498.20Notice and effect of initial determinations.
§ 498.22Reconsideration.
§ 498.23Withdrawal of request for reconsideration.
§ 498.24Reconsidered determination.
§ 498.25Notice and effect of reconsidered determination.
§ 498.30Limitation on reopening.
§ 498.32Notice and effect of reopening and revision.
§ 498.40Request for hearing.
§ 498.42Parties to the hearing.
§ 498.44Designation of hearing official.
§ 498.45Disqualification of Administrative Law Judge.
§ 498.47Prehearing conference.
§ 498.48Notice of prehearing conference.
§ 498.49Conduct of prehearing conference.
§ 498.50Record, order, and effect of prehearing conference.
§ 498.52Time and place of hearing.
§ 498.53Change in time and place of hearing.
§ 498.54Joint hearings.
§ 498.56Hearing on new issues.
§ 498.58Subpoenas.
§ 498.60Conduct of hearing.
§ 498.61Evidence.
§ 498.62Witnesses.
§ 498.63Oral and written summation.
§ 498.64Record of hearing.
§ 498.66Waiver of right to appear and present evidence.
§ 498.68Dismissal of request for hearing.
§ 498.69Dismissal for abandonment.
§ 498.70Dismissal for cause.
§ 498.71Notice and effect of dismissal and right to request review.
§ 498.72Vacating a dismissal of request for hearing.
§ 498.74Administrative Law Judge's decision.
§ 498.76Removal of hearing to Departmental Appeals Board.
§ 498.78Remand by the Administrative Law Judge.
§ 498.79Timeframes for deciding an enrollment appeal before an ALJ.
§ 498.80Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
§ 498.82Request for Departmental Appeals Board review.
§ 498.83Departmental Appeals Board action on request for review.
§ 498.85Procedures before the Departmental Appeals Board on review.
§ 498.86Evidence admissible on review.
§ 498.88Decision or remand by the Departmental Appeals Board.
§ 498.90Effect of Departmental Appeals Board decision.
§ 498.95Extension of time for seeking judicial review.
§ 498.100Basis, timing, and authority for reopening an ALJ or Board decision.
§ 498.102Revision of reopened decision.
§ 498.103Notice and effect of revised decision.