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Title 42

Displaying title 42, up to date as of 7/10/2026. Title 42 was last amended 7/01/2026.
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  1. Title 42 —Public Health
  2. Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human Services
  3. Subchapter B —Medicare Program
  4. Part 426 —Review of National Coverage Determinations and Local Coverage Determinations
  5. Subpart E   View Full Text
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eCFR Content

The Code of Federal Regulations (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. The Electronic Code of Federal Regulations (eCFR) is a continuously updated online version of the CFR. It is not an official legal edition of the CFR.

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Title 42Public HealthPart / Section
Chapter IVCenters for Medicare & Medicaid Services, Department of Health and Human Services400 – 699
Subchapter BMedicare Program405 – 429
Part 426Review of National Coverage Determinations and Local Coverage Determinations426.100 – 426.587
Subpart EReview of an NCD426.500 – 426.587
§ 426.500Procedure for filing an acceptable complaint concerning a provision (or provisions) of an NCD.
§ 426.503Submitting new evidence once an acceptable complaint has been filed.
§ 426.505Authority of the Board.
§ 426.506Ex parte contacts.
§ 426.510Docketing and evaluating the acceptability of NCD complaints.
§ 426.513Participation as amicus curiae.
§ 426.515CMS' role in making the NCD record available.
§ 426.516Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process.
§ 426.517CMS' statement regarding new evidence.
§ 426.518NCD record furnished to the aggrieved party.
§ 426.519NCD record furnished to the Board.
§ 426.520Withdrawing an NCD under review or issuing a revised or reconsidered NCD.
§ 426.523Withdrawing a complaint regarding an NCD under review.
§ 426.525NCD review.
§ 426.531Board's review of the NCD to apply the reasonableness standard.
§ 426.532Discovery.
§ 426.535Subpoenas.
§ 426.540Evidence.
§ 426.544Dismissals for cause.
§ 426.545Witness fees.
§ 426.546Record of hearing.
§ 426.547Issuance, notification, and posting of a Board's decision.
§ 426.550Mandatory provisions of the Board's decision.
§ 426.555Prohibited provisions of the Board's decision.
§ 426.557Optional provisions of the Board's decision.
§ 426.560Effect of the Board's decision.
§ 426.562Notice of the Board's decision.
§ 426.563Future new or revised or reconsidered NCDs.
§ 426.565Board's role in making an LCD or NCD review record available.
§ 426.566Board decision.
§ 426.587Record for appeal of a Board NCD decision.
eCFR Content