42 CFR 88.23
§ 88.23 Appeal of reimbursement denial.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 88.23, § 88.23 Appeal of reimbursement denial, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/201924
- Permanent ID
ys:prov:201924@1- SHA-256
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Full text
After exhausting procedural and/or contractual administrative remedies, a CCE or NPN medical director or affiliated provider may submit a written appeal of a WTC Health Program decision to withhold reimbursement or payment for treatment found to be not medically necessary or not in accordance with approved WTC Health Program medical treatment protocols pursuant to § 88.20 of this part. Appeal procedures are published on the WTC Health Program Web site.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.