StacksVerified U.S. regulatory reference

42 CFR §426.455

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
An ALJ's decision may not do any of the following:
  1. (a)Order CMS or its contractors to add any language to a provision or provisions of an LCD.
  2. (b)Order CMS or its contractors to pay a specific claim.
  3. (c)Set a time limit for CMS or its contractors to establish a new or revised LCD.
  4. (d)Review or evaluate an LCD other than the LCD under review.
  5. (e)Include a requirement for CMS or its contractors that specifies payment, coding, or systems changes for an LCD, or deadlines for implementing these types of changes.
  6. (f)Order or address how a contractor(s) must implement an LCD.