42 CFR Subpart M
Grievances, Coverage Determinations, Redeterminations, and Reconsiderations
June 11, 2020
§
423.558
Scope
§
423.560
Definitions
§
423.562
General provisions
§
423.564
Grievance procedures
§
423.566
Coverage determinations
§
423.568
Standard timeframe and notice requirements for coverage determinations
§
423.570
Expediting certain coverage determinations
§
423.572
Timeframes and notice requirements for expedited coverage determinations
§
423.576
Effect of a coverage determination
§
423.578
Exceptions process
§
423.580
Right to a redetermination
§
423.582
Request for a standard redetermination
§
423.584
Expediting certain redeterminations
§
423.586
Opportunity to submit evidence
§
423.590
Timeframes and responsibility for making redeterminations
§
423.600
Reconsideration by an independent review entity (IRE)
§
423.602
Notice of reconsideration determination by the independent review entity
§
423.604
Effect of a reconsideration determination
§
§423.610-423.634
[Reserved]
§
423.636
How a Part D plan sponsor must effectuate standard redeterminations, reconsiderations, or decisions
§
423.638
How a Part D plan sponsor must effectuate expedited redeterminations or reconsiderations
Tried the LawStack mobile app?
Join thousands and try LawStack mobile for FREE today.
- Carry the law offline, wherever you go.
- Download CFR, USC, rules, and state law to your mobile device.
