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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER B: MEDICARE PROGRAM
PART 423: VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
Subpart N: Medicare Contract Determinations and Appeals
423.652 - Postponement of effective date of a contract determination when a request for a hearing is filed timely.
(a) Hearing. When a request for a hearing is timely filed, CMS will postpone the proposed effective date of the contract determination listed at 423.641 until a hearing decision is reached and affirmed by the Administrator following review pursuant to 423.666 in instances where a Part D sponsor or CMS requests Administrator review and the Administrator accepts the matter for review.
(b) Exceptions: (1) If a final decision is not reached on CMS' determination for an initial contract by July 15, CMS will not enter into a contract with the applicant for the following year.
(2) A contract terminated in accordance with ? 423.509(b)(2)(i) of this part will be terminated on the date specified by CMS and will not be postponed if a hearing is requested.
[72 FR 68734, Dec. 5, 2007, as amended at 75 FR 19824, Apr. 15, 2010]
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