42 CFR 426.310
§ 426.310 LCD and NCD reviews and individual claim appeals.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 426.310, § 426.310 LCD and NCD reviews and individual claim appeals, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205382
- Permanent ID
ys:prov:205382@1- SHA-256
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Full text
(a) LCD and NCD reviews are distinct from the claims appeal processes set forth in part 405, subparts G and H; part 417, subpart Q; and part 422, subpart M of this chapter.
(b) An aggrieved party must notify the ALJ or the Board, as appropriate, regarding the submission and disposition of any pending claim or appeal relating to the subject of the aggrieved party's LCD or NCD complaint. This reporting obligation continues through the entire LCD or NCD review process.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.