Part 426 — Review of National Coverage Determinations and Local Coverage Determinations
Subpart A — General Provisions
Subpart C — General Provisions for the Review of LCDs and NCDs
Subpart D — Review of an LCD
- § 426.400— Procedure for filing an acceptable complaint concerning a provision (or provisions) of an LCD.
- § 426.403— Submitting new evidence once an acceptable complaint is filed.
- § 426.405— Authority of the ALJ.
- § 426.406— <em>Ex parte</em> contacts.
- § 426.410— Docketing and evaluating the acceptability of LCD complaints.
- § 426.415— CMS' role in the LCD review.
- § 426.416— Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.
- § 426.417— Contractor's statement regarding new evidence.
- § 426.418— LCD record furnished to aggrieved party.
- § 426.419— LCD record furnished to the ALJ.
- § 426.420— Retiring or revising an LCD under review.
- § 426.423— Withdrawing a complaint regarding an LCD under review.
- § 426.425— LCD review.
- § 426.431— ALJ's review of the LCD to apply the reasonableness standard.
- § 426.432— Discovery.
- § 426.435— Subpoenas.
- § 426.440— Evidence.
- § 426.444— Dismissals for cause.
- § 426.445— Witness fees.
- § 426.446— Record of hearing.
- § 426.447— Issuance and notification of an ALJ's decision.
- § 426.450— Mandatory provisions of an ALJ's decision.
- § 426.455— Prohibited provisions of an ALJ's decision.
- § 426.457— Optional provisions of an ALJ's decision.
- § 426.458— ALJ's LCD review record.
- § 426.460— Effect of an ALJ's decision.
- § 426.462— Notice of an ALJ's decision.
- § 426.463— Future new or revised LCDs.
- § 426.465— Appealing part or all of an ALJ's decision.
- § 426.468— Decision to not appeal an ALJ's decision.
- § 426.470— Board's role in docketing and evaluating the acceptability of appeals of ALJ decisions.
- § 426.476— Board review of an ALJ's decision.
- § 426.478— Retiring or revising an LCD during the Board's review of an ALJ's decision.
- § 426.480— Withdrawing an appeal of an ALJ's decision.
- § 426.482— Issuance and notification of a Board decision.
- § 426.484— Mandatory provisions of a Board decision.
- § 426.486— Prohibited provisions of a Board decision.
- § 426.487— Board's record on appeal of an ALJ's decision.
- § 426.488— Effect of a Board decision.
- § 426.489— Board remands.
- § 426.490— Board decision.
Subpart E — Review of an NCD
- § 426.500— Procedure for filing an acceptable complaint concerning a provision (or provisions) of an NCD.
- § 426.503— Submitting new evidence once an acceptable complaint has been filed.
- § 426.505— Authority of the Board.
- § 426.506— <em>Ex parte</em> contacts.
- § 426.510— Docketing and evaluating the acceptability of NCD complaints.
- § 426.513— Participation as <em>amicus curiae.</em>
- § 426.515— CMS' role in making the NCD record available.
- § 426.516— Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process.
- § 426.517— CMS' statement regarding new evidence.
- § 426.518— NCD record furnished to the aggrieved party.
- § 426.519— NCD record furnished to the Board.
- § 426.520— Withdrawing an NCD under review or issuing a revised or reconsidered NCD.
- § 426.523— Withdrawing a complaint regarding an NCD under review.
- § 426.525— NCD review.
- § 426.531— Board's review of the NCD to apply the reasonableness standard.
- § 426.532— Discovery.
- § 426.535— Subpoenas.
- § 426.540— Evidence.
- § 426.544— Dismissals for cause.
- § 426.545— Witness fees.
- § 426.546— Record of hearing.
- § 426.547— Issuance, notification, and posting of a Board's decision.
- § 426.550— Mandatory provisions of the Board's decision.
- § 426.555— Prohibited provisions of the Board's decision.
- § 426.557— Optional provisions of the Board's decision.
- § 426.560— Effect of the Board's decision.
- § 426.562— Notice of the Board's decision.
- § 426.563— Future new or revised or reconsidered NCDs.
- § 426.565— Board's role in making an LCD or NCD review record available.
- § 426.566— Board decision.
- § 426.587— Record for appeal of a Board NCD decision.