Review of an LCD | Midpage

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Code of Federal Regulations

Subpart D

Review of an LCD

426.400Procedure for filing an acceptable complaint concerning a provision (or provisions) of an LCD.426.403Submitting new evidence once an acceptable complaint is filed.426.405Authority of the ALJ.426.40642 C.F.R. § 426.406 426.410Docketing and evaluating the acceptability of LCD complaints.426.415CMS' role in the LCD review.426.416Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.426.417Contractor's statement regarding new evidence.426.418LCD record furnished to aggrieved party.426.419LCD record furnished to the ALJ.426.420Retiring or revising an LCD under review.426.423Withdrawing a complaint regarding an LCD under review.426.425LCD review.426.431ALJ's review of the LCD to apply the reasonableness standard.426.432Discovery.426.435Subpoenas.426.440Evidence.426.444Dismissals for cause.426.445Witness fees.426.446Record of hearing.426.447Issuance and notification of an ALJ's decision.426.450Mandatory provisions of an ALJ's decision.426.455Prohibited provisions of an ALJ's decision.426.457Optional provisions of an ALJ's decision.426.458ALJ's LCD review record.426.460Effect of an ALJ's decision.426.462Notice of an ALJ's decision.426.463Future new or revised LCDs.426.465Appealing part or all of an ALJ's decision.426.468Decision to not appeal an ALJ's decision.426.470Board's role in docketing and evaluating the acceptability of appeals of ALJ decisions.426.476Board review of an ALJ's decision.426.478Retiring or revising an LCD during the Board's review of an ALJ's decision.426.480Withdrawing an appeal of an ALJ's decision.426.482Issuance and notification of a Board decision.426.484Mandatory provisions of a Board decision.426.486Prohibited provisions of a Board decision.426.487Board's record on appeal of an ALJ's decision.426.488Effect of a Board decision.426.489Board remands.426.490Board decision.