§423.1982. Notice of a revised determination or decision.
42 C.F.R. § 423.1982
When adjudicators initiate reopenings. When any determination or decision is reopened and revised as provided in § 423.1980:
The Part D plan sponsor, IRE, ALJ or attorney adjudicator, or the Council must mail its revised determination or decision to the enrollee at his or her last known address.
The IRE, ALJ or attorney adjudicator, or the Council must mail its revised determination or decision to the Part D plan sponsor.
An adverse revised determination or decision must state the rationale and basis for the reopening and revision and any right to appeal.
Reopenings initiated at the request of an enrollee or a Part D plan sponsor.
The Part D plan sponsor, IRE, ALJ or attorney adjudicator, or the Council must mail its revised determination or decision to the enrollee at his or her last known address.
The IRE, ALJ or attorney adjudicator or the Council must mail its revised determination or decision to the Part D plan sponsor.
An adverse revised determination or decision must state the rationale and basis for the reopening and revision and any right to appeal.
Notes, amendments, and revision history
Amendments
[74 FR 65363, Dec. 9, 2009, as amended at 82 FR 5126, Jan. 17, 2017]
Source
Source: 74 FR 65363, Dec. 9, 2009, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1306, 1395w-101 through 1395w-152, and 1395hh.
Source
Source: 70 FR 4525, Jan. 28, 2005, unless otherwise noted.
Amendments
[74 FR 65363, Dec. 9, 2009, as amended at 82 FR 5126, Jan. 17, 2017]