42 CFR 423.558
§ 423.558 Scope.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 423.558, § 423.558 Scope, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204895
- Permanent ID
ys:prov:204895@1- SHA-256
5a007ec96218a60119dde057f0239f3438422d3814550059d7dd3724e2ffbe10
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) This subpart sets forth the requirements relating to the following:
(1) Part D plan sponsors with respect to grievances, coverage determinations, and redeterminations.
(2) Part D IRE with respect to reconsiderations.
(3) Part D enrollees' rights with respect to grievances, coverage determinations, redeterminations, and reconsiderations.
(4) Review of at-risk determinations made under a drug management program in accordance with § 423.153(f).
(b) The requirements regarding reopenings, ALJ hearings and ALJ and attorney adjudicator decisions, Council review, and judicial review are set forth in subpart U of this chapter.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.