[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR431.233] [Page 38] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 431_STATE ORGANIZATION AND GENERAL ADMINISTRATION--Table of Contents Subpart E_Fair Hearings for Applicants and Recipients Sec. 431.233 State agency hearing after adverse decision of local evidentiary hearing. (a) Unless the applicant or recipient specifically requests a de novo hearing, the State agency hearing may consist of a review by the agency hearing officer of the record of the local evidentiary hearing to determine whether the decision of the local hearing officer was supported by substantial evidence in the record. (b) A person who participates in the local decision being appealed may not participate in the State agency hearing decision.