Subpart R—Provider Reimbursement Determinations and Appeals

1. CFR
2. ›
3. Title 42
4. ›
5. Chapter IV
6. ›
7. Part 405
8. ›
9. Subpart R

Sections

Section numbering in the official eCFR can be non-consecutive. Omitted section numbers are not treated here as reserved unless the source explicitly labels them that way.

• 405.1801
  § 405.1801 Introduction.
• 405.1803
  § 405.1803 Contractor determination and notice of amount of program reimbursement.
• 405.1804
  § 405.1804 Matters not subject to administrative and judicial review under prospective payment.
• 405.1805
  § 405.1805 Parties to contractor determination.
• 405.1807
  § 405.1807 Effect of contractor determination.
• 405.1809
  § 405.1809 Contractor hearing procedures.
• 405.1811
  § 405.1811 Right to contractor hearing; contents of, and adding issues to, hearing request.
• 405.1813
  § 405.1813 Good cause extension of time limit for requesting a contractor hearing.
• 405.1814
  § 405.1814 Contractor hearing officer jurisdiction.
• 405.1815
  § 405.1815 Parties to proceedings before the contractor hearing officer(s).
• 405.1817
  § 405.1817 Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers.
• 405.1819
  § 405.1819 Conduct of contractor hearing.
• 405.1821
  § 405.1821 Prehearing discovery and other proceedings prior to the contractor hearing.
• 405.1823
  § 405.1823 Evidence at contractor hearing.
• 405.1825
  § 405.1825 Witnesses at contractor hearing.
• 405.1827
  § 405.1827 Record of proceedings before the contractor hearing officer(s).
• 405.1829
  § 405.1829 Scope of authority of contractor hearing officer(s).
• 405.1831
  § 405.1831 Contractor hearing decision.
• 405.1832
  § 405.1832 Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim.
• 405.1833
  § 405.1833 Effect of contractor hearing decision.
• 405.1834
  § 405.1834 CMS reviewing official procedure.
• 405.1835
  § 405.1835 Right to Board hearing; contents of, and adding issues to, hearing request.
• 405.1836
  § 405.1836 Good cause extension of time limit for requesting a Board hearing.
• 405.1837
  § 405.1837 Group appeals.
• 405.1839
  § 405.1839 Amount in controversy.
• 405.1840
  § 405.1840 Board jurisdiction.
• 405.1842
  § 405.1842 Expedited judicial review.
• 405.1843
  § 405.1843 Parties to proceedings in a Board appeal.
• 405.1845
  § 405.1845 Composition of Board; hearings, decisions, and remands.
• 405.1847
  § 405.1847 Disqualification of Board members.
• 405.1849
  § 405.1849 Establishment of time and place of hearing by the Board.
• 405.1851
  § 405.1851 Conduct of Board hearing.
• 405.1853
  § 405.1853 Board proceedings prior to any hearing; discovery.
• 405.1855
  § 405.1855 Evidence at Board hearing.
• 405.1857
  § 405.1857 Subpoenas.
• 405.1859
  § 405.1859 Witnesses.
• 405.1861
  § 405.1861 Oral argument and written allegations.
• 405.1863
  § 405.1863 Administrative policy at issue.
• 405.1865
  § 405.1865 Record of administrative proceedings.
• 405.1867
  § 405.1867 Scope of Board's legal authority.
• 405.1868
  § 405.1868 Board actions in response to failure to follow Board rules.
• 405.1869
  § 405.1869 Scope of Board's authority in a hearing decision.
• 405.1871
  § 405.1871 Board hearing decision.
• 405.1873
  § 405.1873 Board review of compliance with the reimbursement requirement of an appropriate cost report claim.
• 405.1875
  § 405.1875 Administrator review.
• 405.1877
  § 405.1877 Judicial review.
• 405.1881
  § 405.1881 Appointment of representative.
• 405.1883
  § 405.1883 Authority of representative.
• 405.1885
  § 405.1885 Reopening a contractor determination or reviewing entity decision.
• 405.1887
  § 405.1887 Notice of reopening; effect of reopening.
• 405.1889
  § 405.1889 Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.