(d) The ALJ does not have authority to do any of the following under this part:
- (1) Conduct an LCD review or conduct LCD hearings on his or her own motion or on the motion of a nonaggrieved party.
- (2) Issue a decision based on any new evidence without following § 426.340, regarding procedures for review of new evidence.
- (3) Review any decisions by contractors to develop a new or revised LCD.
- (4) Conduct a review of any draft, retired, archived, template, or suggested LCDs.
- (5) Conduct a review of any policy that is not an LCD, as defined in § 400.202 of this chapter.
- (6) Conduct a review of any NCD according to section 1869(f)(1)(A)(i) of the Act.
- (7) Conduct a review of the merits of an unacceptable LCD complaint as discussed in § 426.410.
(8) Allow participation by individuals or entities other than—
- (i) The aggrieved party and/or his/her representative;
- (ii) CMS and/or the contractor; and
- (iii) Experts called by the parties or the ALJ.
- (9) Compel the parties to participate in a mediation process or to engage in settlement negotiations.
- (10) Deny a request for withdrawal of a complaint by an aggrieved party.
- (11) Compel the contractor to conduct studies, surveys, or develop new information to support an LCD record.
- (12) Deny a contractor the right to reconsider, revise or retire an LCD.
- (13) Find invalid applicable Federal statutes, regulations, rulings, or NCDs.
- (14) Enter a decision specifying terms to be included in an LCD.