[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR498.25] [Page 1096] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 498_APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/MR AND CERTAIN NFs IN THE MEDICAID PROGRAM--Table of Contents Subpart B_Initial, Reconsidered, and Revised Determinations Sec. 498.25 Notice and effect of reconsidered determination. (a) Notice. (1) CMS mails notice of a reconsidered determination to the affected party. (2) The notice gives the reasons for the determination. (3) If the determination is adverse, the notice specifies the conditions or requirements of law or regulations that the affected party fails to meet, and informs the party of its right to a hearing. (b) Effect. A reconsidered determination is binding unless-- (1) CMS or the OIG, as appropriate, further revises the revised determination; or (2) The revised determination is reversed or modified by a hearing decision.