Home
gpo.gov
govinfo.gov

e-CFR Navigation Aids

Browse

Simple Search

Advanced Search

 — Boolean

 — Proximity

 

Search History

Search Tips

Corrections

Latest Updates

User Info

FAQs

Agency List

Incorporation By Reference

eCFR logo

Related Resources

The Code of Federal Regulations (CFR) annual edition is the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government produced by the Office of the Federal Register (OFR) and the Government Publishing Office.

Download the Code of Federal Regulations in XML.

Download the Electronic Code of Federal Regulations in XML.

Monthly Title and Part user viewing data for the e-CFR is available for download in CSV format.

Parallel Table of Authorities and Rules for the Code of Federal Regulations and the United States Code
Text | PDF

Find, review, and submit comments on Federal rules that are open for comment and published in the Federal Register using Regulations.gov.

Purchase individual CFR titles from the U.S. Government Online Bookstore.

Find issues of the CFR (including issues prior to 1996) at a local Federal depository library.

[A1]

Electronic Code of Federal Regulations

We invite you to try out our new beta eCFR site at https://ecfr.federalregister.gov. We have made big changes to make the eCFR easier to use. Be sure to leave feedback using the Feedback button on the bottom right of each page!

e-CFR data is current as of November 25, 2020

Title 42 → Chapter IV → Subchapter G → Part 498

TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER G—STANDARDS AND CERTIFICATION

PART 498—APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/IID AND CERTAIN NFs IN THE MEDICAID PROGRAM

rule

Subpart A—GENERAL PROVISIONS

§498.1
Statutory basis.
§498.2
Definitions.
§498.3
Scope and applicability.
§498.4
NFs subject to appeals process in part 498.
§498.5
Appeal rights.
§498.10
Appointment of representatives.
§498.11
Authority of representatives.
§498.13
Fees for services of representatives.
§498.15
Charge for transcripts.
§498.17
Filing of briefs with the ALJ or Departmental Appeals Board, and opportunity for rebuttal.
rule

Subpart B—INITIAL, RECONSIDERED, AND REVISED DETERMINATIONS

§498.20
Notice and effect of initial determinations.
§498.22
Reconsideration.
§498.23
Withdrawal of request for reconsideration.
§498.24
Reconsidered determination.
§498.25
Notice and effect of reconsidered determination.
rule

Subpart C—REOPENING OF INITIAL OR RECONSIDERED DETERMINATIONS

§498.30
Limitation on reopening.
§498.32
Notice and effect of reopening and revision.
rule

Subpart D—HEARINGS

§498.40
Request for hearing.
§498.42
Parties to the hearing.
§498.44
Designation of hearing official.
§498.45
Disqualification of Administrative Law Judge.
§498.47
Prehearing conference.
§498.48
Notice of prehearing conference.
§498.49
Conduct of prehearing conference.
§498.50
Record, order, and effect of prehearing conference.
§498.52
Time and place of hearing.
§498.53
Change in time and place of hearing.
§498.54
Joint hearings.
§498.56
Hearing on new issues.
§498.58
Subpoenas.
§498.60
Conduct of hearing.
§498.61
Evidence.
§498.62
Witnesses.
§498.63
Oral and written summation.
§498.64
Record of hearing.
§498.66
Waiver of right to appear and present evidence.
§498.68
Dismissal of request for hearing.
§498.69
Dismissal for abandonment.
§498.70
Dismissal for cause.
§498.71
Notice and effect of dismissal and right to request review.
§498.72
Vacating a dismissal of request for hearing.
§498.74
Administrative Law Judge's decision.
§498.76
Removal of hearing to Departmental Appeals Board.
§498.78
Remand by the Administrative Law Judge.
§498.79
Timeframes for deciding an enrollment appeal before an ALJ.
rule

Subpart E—DEPARTMENTAL APPEALS BOARD REVIEW

§498.80
Right to request Departmental Appeals Board review of Administrative Law Judge's decision or dismissal.
§498.82
Request for Departmental Appeals Board review.
§498.83
Departmental Appeals Board action on request for review.
§498.85
Procedures before the Departmental Appeals Board on review.
§498.86
Evidence admissible on review.
§498.88
Decision or remand by the Departmental Appeals Board.
§498.90
Effect of Departmental Appeals Board decision.
§498.95
Extension of time for seeking judicial review.
rule

Subpart F—REOPENING OF DECISIONS MADE BY ADMINISTRATIVE LAW JUDGES OR THE DEPARTMENTAL APPEALS BOARD

§498.100
Basis, timing, and authority for reopening an ALJ or Board decision.
§498.102
Revision of reopened decision.
§498.103
Notice and effect of revised decision.

Need assistance?