[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: 42CFR483.204] [Page 548] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 483_REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES --Table of Contents Subpart E_Appeals of Discharges, Transfers, and Preadmission Screening and Annual Resident Review (PASARR) Determinations Sec. 483.204 Provision of a hearing and appeal system. (a) Each State must provide a system for: (1) A resident of a SNF or a NF to appeal a notice from the SNF or NF of intent to discharge or transfer the resident; and (2) An individual who has been adversely affected by any PASARR determination made by the State in the context of either a preadmission screening or an annual resident review under subpart C of part 483 to appeal that determination. (b) The State must provide an appeals system that meets the requirements of this subpart, Sec. 483.12 of this part, and part 431 subpart E of this chapter. [57 FR 56506, Nov. 30, 1992; 58 FR 25784, Apr. 28, 1993]