---
kind: "section"
citation: "42 C.F.R. § 405.1809"
title: "42"
number: "405.1809"
heading: "Contractor hearing procedures."
url: "https://uscodex.org/cfr/42/405.1809"
---

# §405.1809. Contractor hearing procedures.

- (a) **Hearings.** Each contractor must establish and maintain written procedures for contractor hearings, in accordance with the regulations in this subpart, for resolving issues that may arise between the contractor and a provider concerning the amount of reasonable cost reimbursement, or prospective payment due the provider (except as provided in [§ 405.1804](/cfr/42/405.1804.md)) under the Medicare program. The procedures must provide for a hearing on the contractor determination contained in the notice of program reimbursement ([§ 405.1803](/cfr/42/405.1803.md)), if the provider files a timely request for a hearing.
- (b) **Amount in controversy.** In order for a contractor to grant a hearing, the following dates and amounts in controversy apply:
  - (1) For cost reporting periods ending prior to June 30, 1973, the amount of program reimbursement in controversy must be at least $1000.
  - (2) For cost reporting periods ending on or after June 30, 1973, the amount of program reimbursement in controversy must be at least $1000 but less than $10,000.

## Notes

### Amendments

[48 FR 39835, Sept. 1, 1983, as amended at 49 FR 323, Jan. 1, 1984]

### Authority

Authority: Secs. 205, 1102, 1814(b), 1815(a), 1833, 1861(v), 1871, 1872, 1878, and 1886 of the Social Security Act (42 U.S.C. 405, 1302, 1395f(b), 1395g(a), 1395l, 1395x(v), 1395hh, 1395ii, 1395oo, and 1395ww).

### Source

Source: 39 FR 34515, Sept. 26, 1974, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977.

### Authority

Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).

### Amendments

[48 FR 39835, Sept. 1, 1983, as amended at 49 FR 323, Jan. 1, 1984]