42 CFR 423.576 - Effect of a coverage determination.

Code of Federal Regulations - Title 42: Public Health (December 2005)


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TITLE 42 - PUBLIC HEALTH

CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B - MEDICARE PROGRAM

PART 423 - VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT

subpart m - GRIEVANCES, COVERAGE DETERMINATIONS, AND APPEALS

423.576 - Effect of a coverage determination.

The coverage determination is binding on the Part D plan sponsor and the enrollee unless it is reviewed and revised under 423.580 through 423.630 or is reopened and revised under 423.634.

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