Content of notice
| Currency | Current through May 31, 2023 |
| Citation | 42 C.F.R. §431.210 |
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7 cases
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Guggenberger v. Minnesota
...action affecting an applicant or beneficiary's claim must contain, among other things, an explanation of the reasons for the action. See id. § 431.210. Plaintiffs assert a § 1983 claim against Defendants based on their purported violation of these fair hearing and notice requirements. The C......
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Peter B. v. Sanford, C/A No. 6:10-767-TMC
...of all participants are protected. (Am. Compl. ¶ 296). Plaintiffs also allege Defendantsviolated their due process rights under 42 C.F.R. § 431.210 by failing to provide a hearing, notice, legitimate reasons for attempting to reduce services, and citation to specific regulations supporting ......
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Arapahoe Cnty Dep’t of Human Svcs. v. Monica Velarde & Michael Moore
...becomes effective); see also Dep’t of Health Care Policy & Fin. Reg. 8.057, 10 Code Colo. Regs. 2505-10 (agency 8 review process); 42 C.F.R. § 431.210 (2019) (federal requirements). The conclusion of this process yields a final agency action subject to judicial review by the aggrieved party......
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Shell v. Ohio Dep't of Job & Fam. Serv.
...{¶ 19} Federal Medicaid regulations for issuing notice of a denial of Medicaid benefits are set forth in applicable sections of 42 C.F.R. 431.210: 431.210 Content of notice. A notice * * * must contain[:] (a) A statement of what action the * * * skilled nursing facility * * * intends to tak......
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1 firm's commentaries
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Mental Health Parity Requirements and Medicaid Plans: CMS Seeks Comment on Proposed Rule
...MCOs, PIHPs, and PAHPs are required to give a “reason” for any adverse benefit determinations under requirements for notices in 42 C.F.R. § 431.210 and § 438.404. Further, CHIP enrollees have an opportunity for an external review of denials, a reduction, or a suspension of health services u......