[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: 42CFR431.232] [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. 431.232 Adverse decision of local evidentiary hearing. If the decision of a local evidentiary hearing is adverse to the applicant or recipient, the agency must-- (a) Inform the applicant or recipient of the decision; (b) Inform the applicant or recipient that he has the right to appeal the decision to the State agency, in writing, within 15 days of the mailing of the notice of the adverse decision; (c) Inform the applicant or recipient of his right to request that his appeal be a de novo hearing; and (d) Discontinue services after the adverse decision.