42 C.F.R. §405.956 - Notice of a redetermination

Cite as42 C.F.R. §405.956
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4 cases
  • In Touch Home Health Agency, Inc. v. Azar, Case No. 19 C 1545
    • United States
    • United States District Courts. 7th Circuit. United States District Court (Northern District of Illinois)
    • 24 Octubre 2019
    ...in writing why they agree or disagree with the previous determination. See 42 U.S.C. § 1395ff(a)(5), (c)(3)(E) ; 42 C.F.R. §§ 405.946, 405.956(b), 405.966, 405.968(a), 405.976(b). If the QIC upholds an overpayment determination on reconsideration, CMS can begin recouping the overpayment eve......
  • Sahara Health Care, Inc. v. Azar, 18-41120
    • United States
    • United States Courts of Appeals. United States Court of Appeals (5th Circuit)
    • 18 Septiembre 2020
    ...result in reasoned, written decisions. See 42 U.S.C. § 1395ff(a)(5) (requiring "written notice" with "specific reasons" at step one); 42 C.F.R. § 405.956(b) (detailing content of step one decision); 42 U.S.C. § 1395ff(c)(3)(E) (requiring "a detailed explanation of the decision" at step two)......
  • Sahara Health Care, Inc. v. Azar, 18-41120
    • United States
    • United States Courts of Appeals. United States Court of Appeals (5th Circuit)
    • 18 Septiembre 2020
    ...result in reasoned, written decisions. See 42 U.S.C. § 1395ff(a)(5) (requiring "written notice" with "specific reasons" at step one); 42 C.F.R. § 405.956(b) (detailing content of step one decision); 42 U.S.C. § 1395ff(c)(3)(E) (requiring "a detailed explanation of the decision" at step two)......
  • Kantor v. Becerra, Civil Action No. DKC 20-2475
    • United States
    • United States District Courts. 4th Circuit. United States District Court (Maryland)
    • 25 Marzo 2021
    ...clearly initiated the first-level appeal but claims that the MAC failed ever to provide her with a written decision as required in 42 C.F.R. § 405.956(a)(1). (See 42 C.F.R. § 405.956(a)(1)) ("Written notice of a redetermination affirming, in whole or in part, the initial determination must ......

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