---
kind: "section"
citation: "42 C.F.R. § 498.25"
title: "42"
number: "498.25"
heading: "Notice and effect of reconsidered determination."
url: "https://uscodex.org/cfr/42/498.25"
---

# §498.25. Notice and effect of reconsidered determination.

- (a) **Notice.**
  - (1) **CMS mails notice of a reconsidered determination to the affected party.**
  - (2) **The notice gives the reasons for the determination.**
  - (3) If the determination is adverse, the notice specifies the conditions or requirements of law or regulations that the affected party fails to meet, and informs the party of its right to a hearing.
- (b) **Effect.** A reconsidered determination is binding unless—
  - (1) CMS or the OIG, as appropriate, further revises the revised determination; or
  - (2) **The revised determination is reversed or modified by a hearing decision.**

## Notes

### Authority

Authority: 42 U.S.C. 1302, 1320a-7j, and 1395hh.

### Source

Source: 52 FR 22446, June 12, 1987, unless otherwise noted.