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Regulations last checked for updates: May 23, 2025

Title 42 - Public Health last revised: May 16, 2025
All TitlesTitle 42Chapter IVPart 405Subpart J - Subpart J—Procedures and Beneficiary Rights for Expedited Determinations and Reconsiderations When Coverage is Changed or Terminated
  • § 405.1200 - Notifying beneficiaries of provider service terminations.
  • § 405.1202 - Expedited determination procedures.
  • § 405.1204 - Expedited reconsiderations.
  • § 405.1205 - Notifying beneficiaries of hospital discharge appeal rights.
  • § 405.1206 - Expedited determination procedures for inpatient hospital care.
  • § 405.1208 - Hospital requests expedited QIO review.
  • § 405.1210 - Notifying eligible beneficiaries of appeal rights when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
  • § 405.1211 - Expedited determination procedures when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
  • § 405.1212 - Expedited reconsideration procedures regarding Part A coverage when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.
authority: 42 U.S.C. 263a,405,1302,1320b,1395x,1395y,1395ff,1395hh,1395kk,1395rr,and
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