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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 426—REVIEW OF NATIONAL COVERAGE DETERMINATIONS AND LOCAL COVERAGE DETERMINATIONS
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SUBPART D—Review of an LCD (§426.400 to §426.490)
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SUBPART D—Review of an LCD (§426.400 to §426.490)
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—Ex parte 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.
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