---
kind: "unit"
title: "42"
title_heading: "Public Health"
key: "chIV/subchB/part405/subpartR"
level: "subpart"
label: "Subpart R"
heading: "Provider Reimbursement Determinations and Appeals"
release: "ecfr-current"
date: "2026-08-27"
url: "https://uscodex.org/cfr/42/chIV-subchB-part405-subpartR"
sections_count: 51
---

# Subpart R — Provider Reimbursement Determinations and Appeals

Title 42 C.F.R. — Public Health › Chapter IV — Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B — Medicare Program › Part 405 — Federal Health Insurance for the Aged and Disabled

## Sections

- [§405.1801. Introduction.](/cfr/42/405.1801.md)
- [§405.1803. Contractor determination and notice of amount of program reimbursement.](/cfr/42/405.1803.md)
- [§405.1804. Matters not subject to administrative and judicial review under prospective payment.](/cfr/42/405.1804.md)
- [§405.1805. Parties to contractor determination.](/cfr/42/405.1805.md)
- [§405.1807. Effect of contractor determination.](/cfr/42/405.1807.md)
- [§405.1809. Contractor hearing procedures.](/cfr/42/405.1809.md)
- [§405.1811. Right to contractor hearing; contents of, and adding issues to, hearing request.](/cfr/42/405.1811.md)
- [§405.1813. Good cause extension of time limit for requesting a contractor hearing.](/cfr/42/405.1813.md)
- [§405.1814. Contractor hearing officer jurisdiction.](/cfr/42/405.1814.md)
- [§405.1815. Parties to proceedings before the contractor hearing officer(s).](/cfr/42/405.1815.md)
- [§405.1817. Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers.](/cfr/42/405.1817.md)
- [§405.1819. Conduct of contractor hearing.](/cfr/42/405.1819.md)
- [§405.1821. Prehearing discovery and other proceedings prior to the contractor hearing.](/cfr/42/405.1821.md)
- [§405.1823. Evidence at contractor hearing.](/cfr/42/405.1823.md)
- [§405.1825. Witnesses at contractor hearing.](/cfr/42/405.1825.md)
- [§405.1827. Record of proceedings before the contractor hearing officer(s).](/cfr/42/405.1827.md)
- [§405.1829. Scope of authority of contractor hearing officer(s).](/cfr/42/405.1829.md)
- [§405.1831. Contractor hearing decision.](/cfr/42/405.1831.md)
- [§405.1832. Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim.](/cfr/42/405.1832.md)
- [§405.1833. Effect of contractor hearing decision.](/cfr/42/405.1833.md)
- [§405.1834. CMS reviewing official procedure.](/cfr/42/405.1834.md)
- [§405.1835. Right to Board hearing; contents of, and adding issues to, hearing request.](/cfr/42/405.1835.md)
- [§405.1836. Good cause extension of time limit for requesting a Board hearing.](/cfr/42/405.1836.md)
- [§405.1837. Group appeals.](/cfr/42/405.1837.md)
- [§405.1839. Amount in controversy.](/cfr/42/405.1839.md)
- [§405.1840. Board jurisdiction.](/cfr/42/405.1840.md)
- [§405.1842. Expedited judicial review.](/cfr/42/405.1842.md)
- [§405.1843. Parties to proceedings in a Board appeal.](/cfr/42/405.1843.md)
- [§405.1845. Composition of Board; hearings, decisions, and remands.](/cfr/42/405.1845.md)
- [§405.1847. Disqualification of Board members.](/cfr/42/405.1847.md)
- [§405.1849. Establishment of time and place of hearing by the Board.](/cfr/42/405.1849.md)
- [§405.1851. Conduct of Board hearing.](/cfr/42/405.1851.md)
- [§405.1853. Board proceedings prior to any hearing; discovery.](/cfr/42/405.1853.md)
- [§405.1855. Evidence at Board hearing.](/cfr/42/405.1855.md)
- [§405.1857. Subpoenas.](/cfr/42/405.1857.md)
- [§405.1859. Witnesses.](/cfr/42/405.1859.md)
- [§405.1861. Oral argument and written allegations.](/cfr/42/405.1861.md)
- [§405.1863. Administrative policy at issue.](/cfr/42/405.1863.md)
- [§405.1865. Record of administrative proceedings.](/cfr/42/405.1865.md)
- [§405.1867. Scope of Board's legal authority.](/cfr/42/405.1867.md)
- [§405.1868. Board actions in response to failure to follow Board rules.](/cfr/42/405.1868.md)
- [§405.1869. Scope of Board's authority in a hearing decision.](/cfr/42/405.1869.md)
- [§405.1871. Board hearing decision.](/cfr/42/405.1871.md)
- [§405.1873. Board review of compliance with the reimbursement requirement of an appropriate cost report claim.](/cfr/42/405.1873.md)
- [§405.1875. Administrator review.](/cfr/42/405.1875.md)
- [§405.1877. Judicial review.](/cfr/42/405.1877.md)
- [§405.1881. Appointment of representative.](/cfr/42/405.1881.md)
- [§405.1883. Authority of representative.](/cfr/42/405.1883.md)
- [§405.1885. Reopening a contractor determination or reviewing entity decision.](/cfr/42/405.1885.md)
- [§405.1887. Notice of reopening; effect of reopening.](/cfr/42/405.1887.md)
- [§405.1889. Effect of a revision; issue-specific nature of appeals of revised determinations and decisions.](/cfr/42/405.1889.md)