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Section 426.100
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Definitions |
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Section 426.110
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Calculation of deadlines |
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Section 426.120
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Party submissions |
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Section 426.130
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Review of LCDs, NCDs, and deemed NCDs |
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Section 426.300
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LCD and NCD reviews and individual claim appeals |
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Section 426.310
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Who may challenge an LCD or NCD |
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Section 426.320
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What may be challenged |
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Section 426.325
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Burden of proof |
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Section 426.330
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Procedures for review of new evidence |
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Section 426.340
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Procedure for filing an acceptable complaint concerning a provision (or provisions) of an LCD |
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Section 426.400
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Submitting new evidence once an acceptable complaint is filed |
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Section 426.403
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Authority of the ALJ |
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Section 426.405
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Ex parte contacts |
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Section 426.406
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Docketing and evaluating the acceptability of LCD complaints |
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Section 426.410
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CMS' role in the LCD review |
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Section 426.415
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Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review |
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Section 426.416
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Contractor's statement regarding new evidence |
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Section 426.417
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LCD record furnished to aggrieved party |
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Section 426.418
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LCD record furnished to the ALJ |
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Section 426.419
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Retiring or revising an LCD under review |
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Section 426.420
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Withdrawing a complaint regarding an LCD under review |
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Section 426.423
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LCD review |
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Section 426.425
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ALJ's review of the LCD to apply the reasonableness standard |
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Section 426.431
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Discovery |
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Section 426.432
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Subpoenas |
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Section 426.435
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Evidence |
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Section 426.440
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Dismissals for cause |
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Section 426.444
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Witness fees |
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Section 426.445
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Record of hearing |
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Section 426.446
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Issuance and notification of an ALJ's decision |
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Section 426.447
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Mandatory provisions of an ALJ's decision |
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Section 426.450
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Prohibited provisions of an ALJ's decision |
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Section 426.455
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Optional provisions of an ALJ's decision |
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Section 426.457
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ALJ's LCD review record |
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Section 426.458
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Effect of an ALJ's decision |
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Section 426.460
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Notice of an ALJ's decision |
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Section 426.462
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Future new or revised LCDs |
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Section 426.463
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Appealing part or all of an ALJ's decision |
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Section 426.465
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Decision to not appeal an ALJ's decision |
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Section 426.468
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Board's role in docketing and evaluating the acceptability of appeals of ALJ decisions |
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Section 426.470
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Board review of an ALJ's decision |
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Section 426.476
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Retiring or revising an LCD during the Board's review of an ALJ's decision |
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Section 426.478
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Withdrawing an appeal of an ALJ's decision |
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Section 426.480
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Issuance and notification of a Board decision |
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Section 426.482
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Mandatory provisions of a Board decision |
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Section 426.484
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Prohibited provisions of a Board decision |
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Section 426.486
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Board's record on appeal of an ALJ's decision |
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Section 426.487
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Effect of a Board decision |
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Section 426.488
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Board remands |
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Section 426.489
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Board decision |
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Section 426.490
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Procedure for filing an acceptable complaint concerning a provision (or provisions) of an NCD |
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Section 426.500
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Submitting new evidence once an acceptable complaint has been filed |
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Section 426.503
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Authority of the Board |
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Section 426.505
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Ex parte contacts |
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Section 426.506
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Docketing and evaluating the acceptability of NCD complaints |
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Section 426.510
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Participation as amicus curiae |
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Section 426.513
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CMS' role in making the NCD record available |
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Section 426.515
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Role of Medicare Managed Care Organizations (MCOs) and State agencies in the NCD review process |
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Section 426.516
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CMS' statement regarding new evidence |
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Section 426.517
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NCD record furnished to the aggrieved party |
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Section 426.518
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NCD record furnished to the Board |
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Section 426.519
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Withdrawing an NCD under review or issuing a revised or reconsidered NCD |
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Section 426.520
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Withdrawing a complaint regarding an NCD under review |
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Section 426.523
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NCD review |
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Section 426.525
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Board's review of the NCD to apply the reasonableness standard |
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Section 426.531
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Discovery |
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Section 426.532
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Subpoenas |
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Section 426.535
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Evidence |
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Section 426.540
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Dismissals for cause |
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Section 426.544
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Witness fees |
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Section 426.545
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Record of hearing |
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Section 426.546
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Issuance, notification, and posting of a Board's decision |
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Section 426.547
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Mandatory provisions of the Board's decision |
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Section 426.550
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Prohibited provisions of the Board's decision |
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Section 426.555
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Optional provisions of the Board's decision |
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Section 426.557
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Effect of the Board's decision |
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Section 426.560
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Notice of the Board's decision |
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Section 426.562
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Future new or revised or reconsidered NCDs |
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Section 426.563
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Board's role in making an LCD or NCD review record available |
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Section 426.565
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Board decision |
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Section 426.566
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Record for appeal of a Board NCD decision |
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Section 426.587
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Program description |