42 CFR §411.122

1. (a)Timing.
   1. (1)If the decision is based on a review of the record, the hearing officer mails the decision to all known parties within 120 days from the date of receipt of the request for hearing.
   2. (2)If the decision is based on an oral hearing, the hearing officer mails the decision to all known parties within 120 days from the conclusion of the hearing.
2. (b)Basis, content, and distribution of hearing decision.
   1. (1)The written decision is based on substantial evidence and contains findings of fact, a statement of reasons, and conclusions of law.
   2. (2)The hearing officer mails a copy of the decision to each of the parties, by certified mail, return receipt requested, and includes a notice that the administrator may review the hearing decision at the request of a party or on his or her own motion.
3. (c)Effect of hearing decision. The hearing officer's decision is the final Departmental decision and is binding upon all parties unless the Administrator chooses to review that decision in accordance with § 411.124 or it is reopened by the hearing officer in accordance with § 411.126.