42 CFR 426.416
§ 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 426.416, § 426.416 Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205394
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Full text
Medicare MCOs and Medicaid State agencies have no role in the LCD review process. However, once the ALJ has issued its decision, the decision is made available to all Medicare MCOs and State agencies.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.