[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: 42CFR431.241]



[Page 39]

 

                         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.  431.241  Matters to be considered at the hearing.



    The hearing must cover--

    (a) Agency action or failure to act with reasonable promptness on a 

claim for services, including both initial and subsequent decisions 

regarding eligibility;

    (b) Agency decisions regarding changes in the type or amount of 

services;

    (c) A decision by a skilled nursing facility or nursing facility to 

transfer or discharge a resident; and

    (d) A State determination with regard to the preadmission screening 

and annual resident review requirements of section 1919(e)(7) of the 

Act.



[57 FR 56505, Nov. 30, 1992]