[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: 42CFR498.30]



[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 C_Reopening of Initial or Reconsidered Determinations

 

Sec. 498.30  Limitation on reopening.





    An initial or reconsidered determination that a prospective provider 

is a provider or that a hospital qualifies to elect to claim payment for 

all emergency services furnished in a calendar year may not be reopened. 

CMS or the OIG, as appropriate, may on its own initiative, reopen any 

other initial or reconsidered determination, within 12 months after the 

date of notice of the initial determination.