[Code of Federal Regulations] [Title 45, Volume 1] [Revised as of October 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 45CFR13.30] [Page 72-73] TITLE 45--PUBLIC WELFARE SUBTITLE A--DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 13_IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN AGENCY PROCEEDINGS--Table of Contents Subpart C_Procedures for Considering Applications Sec. 13.30 Designation of adjudicative officer. Upon the filing of an application pursuant to Sec. 13.11(a), the officer who presided over the taking of evidence in the proceeding which gave rise to the application will, if available, be automatically designated as the adjudicative officer for the handling of the application. Appendix A to Part 13 ------------------------------------------------------------------------ Applicable Proceedings covered Statutory authority regulations ------------------------------------------------------------------------ Office of Inspector General ------------------------------------------------------------------------ 1. Proceedings to impose 42 U.S.C. 1320a- 42 CFR Part 1003; civil monetary penalties, 7a(c)(2); 1320b- 42 CFR Part 1005. assessments, or exclusions 10(c); 1395i- from Medicare and State 3(b)(3)(B)(ii), health care programs. (g)(2)(A)(i); 1395l (h)(5)(D), (i)(6); 1395m(a)(11)(A), (a)(18), (b)(5)(C), (j)(2)(A)(iii); 1395u(j)(2), (k), (l )(3), (m)(3), (n)(3), (p)(3)(A); 1395y(b)(3)(C), (b)(6)(B); 1395cc(g); 1395dd(d)(1)(A), (B); 1395mm(i)(6)(B); 1395nn(g)(3), (4); 1395ss(d); 1395bbb(c)(1); 1396b(m)(5)(B); 1396r(b)(3)(B)(ii), (g)(2)(A)(i); 1396t(i)(3); 11131(c); 11137(b)(2). 2. Appeals of exclusions from 42 U.S.C. 1320a-7(f); 42 CFR Part 1001; Medicare and State health 1395l (h)(5)(D); 42 CFR Part 1005. care programs and/or other 1395m(a)(11)(A), programs under the Social (b)(5)(C); Security Act. 1395u(j)(2), (k), (l )(3), (m)(3), (n)(3), (p)(3)(B). 3. Appeal of exclusions from 42 U.S.C. 1320c- 42 CFR Part 1004; programs under the Social 5(b)(4), (5). 42 CFR Part 1005. Security Act, for which services may be provided on the recommendation of a Peer Review Organization. 4. Proceedings to impose 31 U.S.C. 3803....... 45 CFR Part 79. civil penalties and assessments for false claims and statements. ------------------------------ Centers for Medicare & Medicaid Services ------------------------------------------------------------------------ 1. Proceedings to suspend or 42 U.S.C. 263a(i); 42 CFR Part 493, revoke licenses of clinical 1395w-2. Subpart R. laboratories. 2. Proceedings provided to a 42 U.S.C. 1395h(e)(1)- 42 CFR 421.114, fiscal intermediary before (3). 421.128. assigning or reassigning Medicare providers to a different fiscal intermediary. 3. Appeals of determinations 42 U.S.C. 1395cc(h); 42 CFR 489.53(d); that an institution or 1395dd(d)(1)(A). 42 CFR Part 498. agency is not a Medicare provider of services, and appeals of terminations or nonrenewals of Medicare provider agreements. [[Page 73]] 4. Proceedings before the 42 U.S.C. 1395oo..... 42 CFR Part 405, Provider Reimbursement Subpart R. Review Board when Department employees appear as counsel for the intermediary. 5. Appeals of CMS 42 U.S.C. 1396i...... 42 CFR Part 498. determinations that an intermediate care facility for the mentally retarded (ICFMR) no longer qualifies as an ICFMR for Medicaid purposes. 6. Proceedings to impose 42 U.S.C. 1395i- 42 CFR Part 1003. civil monetary penalties, 3(h)(2)(B)(ii); assessments, or exclusions 1395l(q)(2)(B)(i); from Medicare and State 1395m(a)(11)(A), health care programs. (c)(4)(C); 1395w- 2(b)(2)(A); 1395w- 4(g)(1), (g)(3)(B), (g)(4)(B)(ii); 1395nn(g)(5); 1395ss(a)(2), (p)(8), (p)(9)(C), (q)(5)(C), (r)(6)(A), (s)(3), (t)(2); 1395bbb(f)(2)(A); 1396r(h)(3)(C)(ii); 1396r-8(b)(3)(B), (C)(ii); 1396t(j)(2)(C); 1396u(h)(2). 7. Appeals of exclusions from 42 U.S.C. 42 CFR Part 498; Medicare and State health 1395l(q)(2)(B)(ii); 42 CFR 1001.107. care programs and/or other 1395m(a)(11)(A), programs under the Social (c)(5)(C); 1395w- Security Act. 4(g)(1), (g)(3)(B), (g)(4)(B)(ii). ------------------------------ Food and Drug Administration ------------------------------------------------------------------------ 1. Proceedings to withdraw 21 U.S.C. 355(e)..... 21 CFR Part 12; 21 approval of new drug CFR 314.200. applications. 2. Proceedings to withdraw 21 U.S.C. 360b(e), 21 CFR Part 12; 21 approval of new animal drug (m). CFR Part 514, applications and medicated Subpart B. feed applications. 3. Proceedings to withdraw 21 U.S.C. 306e(e), 21 CFR Part 12. approval of medical device (g). premarket approval applications. ------------------------------ Office for Civil Rights ------------------------------------------------------------------------ 1. Proceedings to enforce 42 U.S.C. 2000d-1.... 45 CFR 80.9. Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or national origin by recipients of Federal financial assistance. 2. Proceedings to enforce 29 U.S.C. 794a; 42 45 CFR 84.61. section 504 of the U.S.C. 2000d-1. Rehabilitation Act of 1973, which prohibits discrimination on the basis of handicap by recipients of Federal financial assistance. 3. Proceedings to enforce the 42 U.S.C. 6104(a).... 45 CFR 91.47. Age Discrimination Act of 1975, which prohibits discrimination on the basis of age by recipients of Federal financial assistance. 4. Proceedings to enforce 20 U.S.C. 1682....... 45 CFR 86.71. Title IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex in certain education programs by recipients of Federal financial assistance. ------------------------------------------------------------------------ [69 FR 2847, Jan. 21, 2004]