[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR431.154]



[Page 35]

 

                         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 D_Appeals Process for NFs and ICFs/MR

 

Sec.  431.154  Informal reconsideration for ICFs/MR.



    The informal reconsideration must, at a minimum, include--

    (a) Written notice to the facility of the denial, termination or 

nonrenewal and the findings upon which it was based;

    (b) A reasonable opportunity for the facility to refute those 

findings in writing, and

    (c) A written affirmation or reversal of the denial, termination, or 

nonrenewal.



[44 FR 9753, Feb. 15, 1979, as amended at 59 FR 56233, Nov. 10, 1994; 61 

FR 32349, June 24, 1996]