42 CFR §426.444
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)The ALJ may, at the request of any party, or on his or her own motion, dismiss a complaint if the aggrieved party fails to do either of the following:
- (b)The ALJ must dismiss any complaint concerning LCD provision(s) if the following conditions exist:
- (1)The ALJ does not have the authority to rule on that provision under § 426.405(d).
- (2)The complaint is not timely. (See § 426.400(b).)
- (3)The complaint is not filed by an aggrieved party.
- (4)The complaint is filed by an individual who fails to provide an adequate statement of need for the service from the treating physician.
- (5)The complaint challenges a provision or provisions of an NCD. (See § 426.405, regarding the authority of the ALJ.)
- (6)The contractor notifies the ALJ that the LCD provision(s) is (are) no longer in effect.
- (7)The aggrieved party withdraws the complaint. (See § 426.423 for requirements related to withdrawing a complaint regarding an LCD under review.)