§155.520. Appeal requests. — Inbound Citations
45 C.F.R. § 155.520
Statutory Authority
Cited by 15 regulations in release Current.
Citations to 45 U.S.C. § 155.520 as a whole
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For purposes of this subpart:
Citations to §155.520(a)(1)
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(4) Comply with the requirements of § 155.520(a)(1) through (3); and
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(2) Accept appeal requests submitted through any of the methods described in § 155.520(a)(1);
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(2) Accept appeal requests submitted through any of the methods described in § 155.520(a)(1);
Citations to §155.520(a)(2)
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(4) Comply with the requirements of § 155.520(a)(1) through (3); and
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(3) Comply with the requirements of § 155.520(a)(2) and (3); and
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(3) Comply with the requirements of § 155.520(a)(2) and (3); and
Citations to §155.520(a)(3)
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(4) Comply with the requirements of § 155.520(a)(1) through (3); and
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(3) Comply with the requirements of § 155.520(a)(2) and (3); and
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(3) Comply with the requirements of § 155.520(a)(2) and (3); and
Citations to §155.520(a)(4)
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(3) Fails to submit a valid appeal request as specified in § 155.520(a)(4); or
Citations to §155.520(b)
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(1) Must issue written notice of the appeal decision to the appellant within 90 days of the date an appeal request under § 155.520(b) or (c) is received, as administratively feasible.
Citations to §155.520(c)
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(5) An appeal decision issued by a State Exchange appeals entity in accordance with § 155.545(b), consistent with § 155.520(c).
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(1) Must issue written notice of the appeal decision to the appellant within 90 days of the date an appeal request under § 155.520(b) or (c) is received, as administratively feasible.
Citations to §155.520(d)(1)(ii)
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(a) After receipt of a valid appeal request or notice under § 155.520(d)(1)(ii) that concerns an appeal of a redetermination under § 155.330(e) or § 155.335(h), the Exchange or the Medicaid or CHIP agency, as applicable, must continue to consider the appellant eligible while the appeal is pending in accordance with standards set forth in paragraph (b) of this section or as determined by the Medicaid or CHIP agency consistent with 42 CFR parts 435 and 457, as applicable.