Statutes, codes, and regulations
Code of Federal Regulations
Title 42 - PUBLIC HEALTHChapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICESSubchapter G - STANDARDS AND CERTIFICATIONPart 498 - APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFS/IID AND CERTAIN NFS IN THE MEDICAID PROGRAM
Subpart C - REOPENING OF INITIAL OR RECONSIDERED DETERMINATIONS
Section 498.30 - Limitation on reopening

42 C.F.R. § 498.30

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Current through November 30, 2024
Section 498.30 - Limitation on reopening

An initial or reconsidered determination that a prospective provider is a provider or that a hospital qualifies to elect to claim payment for all emergency services furnished in a calendar year may not be reopened. CMS or the OIG, as appropriate, may on its own initiative, reopen any other initial or reconsidered determination, within 12 months after the date of notice of the initial determination.

42 C.F.R. §498.30