42 CFR 405.1128
§ 405.1128 Action of the Council.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 405.1128, § 405.1128 Action of the Council, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/202983
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Full text
(a) After it has reviewed all the evidence in the administrative record and any additional evidence received, subject to the limitations on Council consideration of additional evidence in § 405.1122, the Council will make a decision or remand the case to an ALJ or attorney adjudicator.
(b) The Council may adopt, modify, or reverse the ALJ's or attorney adjudicator's decisionor recommended decision.
(c) The Council mails a copy of its decision to all the parties at their last known addresses. For overpayment cases involving multiple beneficiaries where there is no beneficiary liability the Council may choose to send written notice only to the appellant. In the event the decision will result in a payment to a provider or supplier, the Medicare contractor must issue any electronic or paper remittance advice notice to that provider or supplier.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.