[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: 42CFR431.240]



[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.  431.240  Conducting the hearing.



    (a) All hearings must be conducted--

    (1) At a reasonable time, date, and place;

    (2) Only after adequate written notice of the hearing; and

    (3) By one or more impartial officials or other individuals who have 

not been directly involved in the initial determination of the action in 

question.

    (b) If the hearing involves medical issues such as those concerning 

a diagnosis, an examining physician's report, or a medical review team's 

decision, and if the hearing officer considers it necessary to have a 

medical assessment other than that of the individual involved in making 

the original decision, such a medical assessment must be obtained at 

agency expense and made part of the record.



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