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Title 42 - Public Health
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CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
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SUBCHAPTER B—MEDICARE PROGRAM (parts 405 to 426)
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PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
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SUBPART U—Reopening, ALJ Hearings, MAC review, and Judicial Review (§423.1968 to §423.2140)
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SUBPART U—Reopening, ALJ Hearings, MAC review, and Judicial Review (§423.1968 to §423.2140)
423.1968—Scope.
423.1970—Right to an ALJ hearing.
423.1972—Request for an ALJ hearing.
423.1974—Medicare Appeals Council (MAC) review.
423.1976—Judicial review.
423.1978—Reopening determinations and decisions.
423.1980—Reopenings of coverage determinations, redeterminations, reconsiderations, hearings and reviews.
423.1982—Notice of a revised determination or decision.
423.1984—Effect of a revised determination or decision.
423.1986—Good cause for reopening.
423.1990—Expedited access to judicial review.
423.2000—Hearing before an ALJ: general rule.
423.2002—Right to an ALJ hearing.
423.2004—Right to ALJ review of IRE notice of dismissal.
423.2008—Parties to an ALJ hearing.
423.2010—When CMS, the IRE, or Part D plan sponsors may participate in an ALJ hearing.
423.2014—Request for an ALJ hearing.
423.2016—Timeframes for deciding an Appeal before an ALJ.
423.2018—Submitting evidence before the ALJ hearing.
423.2020—Time and place for a hearing before an ALJ.
423.2022—Notice of a hearing before an ALJ.
423.2024—Objections to the issues.
423.2026—Disqualification of the ALJ.
423.2030—ALJ hearing procedures.
423.2032—Issues before an ALJ.
423.2034—When an ALJ may remand a case.
423.2036—Description of an ALJ hearing process.
423.2038—Deciding a case without a hearing before an ALJ.
423.2040—Prehearing and posthearing conferences.
423.2042—The administrative record.
423.2044—Consolidated hearing before an ALJ.
423.2046—Notice of an ALJ decision.
423.2048—The effect of an ALJ's decision.
423.2050—Removal of a hearing request from an ALJ to the MAC.
423.2052—Dismissal of a request for a hearing before an ALJ.
423.2054—Effect of dismissal of a request for a hearing before an ALJ.
423.2062—Applicability of policies not binding on the ALJ and MAC.
423.2063—Applicability of laws, regulations and CMS Rulings.
423.2100—Medicare appeals council review: general.
423.2102—Request for MAC review when ALJ issues decision or dismissal.
423.2106—Where a request for review may be filed.
423.2108—MAC Actions when request for review is filed.
423.2110—MAC reviews on its own motion.
423.2112—Content of request for review.
423.2114—Dismissal of request for review.
423.2116—Effect of dismissal of request for MAC review or request for hearing.
423.2118—Obtaining evidence from the MAC.
423.2120—Filing briefs with the MAC.
423.2122—What evidence may be submitted to the MAC.
423.2124—Oral argument.
423.2126—Case remanded by the MAC.
423.2128—Action of the MAC.
423.2130—Effect of the MAC's decision.
423.2134—Extension of time to file action in Federal District Court.
423.2136—Judicial review.
423.2138—Case remanded by a Federal District Court.
423.2140—MAC Review of ALJ decision in a case remanded by a Federal District Court.
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