In adopting the procedures for review of matters described in § 457.1130, a State must ensure that—
- (a) Reviews are conducted by an impartial person or entity in accordance with § 457.1150;
- (b) Review decisions are timely in accordance with § 457.1160;
- (c) Review decisions are written; and
(d) Applicants and enrollees have an opportunity to—
- (1) Represent themselves or have representatives of their choosing in the review process;
- (2) Timely review their files and other applicable information relevant to the review of the decision;
- (3) Fully participate in the review process, whether the review is conducted in person or in writing, including by presenting supplemental information during the review process; and
- (4) Receive continued enrollment and benefits in accordance with § 457.1170.
[66 FR 2687, Jan. 11, 2001, as amended at 89 FR 22877, Apr. 2, 2024]