Upon the filing of an application pursuant to Sec. 13.11(a), the officer who presided over the taking of evidence in the proceeding which gave rise to the application will, if available, be automatically designated as the adjudicative officer for the handling of the application.
Sec. Appendix A to Part 13 ------------------------------------------------------------------------
Applicable
Proceedings covered Statutory authority regulations------------------------------------------------------------------------
Office of Inspector General------------------------------------------------------------------------
1. Proceedings to impose 42 U.S.C. 1320a- 42 CFR part 1003;
civil monetary penalties, 7a(c)(2); 1320b- 42 CFR part 1005.
assessments, or exclusions 10(c); 1395i-
from Medicare and State 3(b)(3)(B)(ii),
health care programs. (g)(2)(A)(i);
1395l(h)(5)(D),
(i)(6);
(6);
1395m(a)(11)(A),
(a)(18), (b)(5)(C),
(18), (b)(5)(C),
(j)(2)(A)(iii);
(2)(A)(iii);
1395u(j)(2), (k),
(l)(3), (m)(3),
(3), (m)(3),
(n)(3), (p)(3)(A);
(3), (p)(3)(A);
1395y(b)(3)(C),
(b)(6)(B);
(6)(B);
1395cc(g);
1395dd(d)(1)(A),
(B);
1395mm(i)(6)(B);
1395nn(g)(3), (4);
1395ss(d);
1395bbb(c)(1);
1396b(m)(5)(B);
1396r(b)(3)(B)(ii),
(g)(2)(A)(i);
(2)(A)(i);
1396t(i)(3);
11131(c);
11137(b)(2).2. Appeals of exclusions from 42 U.S.C. 1320a-7(f); 42 CFR part 1001;
Medicare and State health 1395l(h)(5)(D); 42 CFR part 1005.
care programs and/or other 1395m(a)(11)(A),
programs under the Social (b)(5)(C);
Security Act. 1395u(j)(2), (k),
(l)(3), (m)(3),
(3), (m)(3),
(n)(3), (p)(3)(B).3. Appeal of exclusions from 42 U.S.C. 1320c- 42 CFR part 1004;
(3), (p)(3)(B).3. Appeal of exclusions from 42 U.S.C. 1320c- 42 CFR part 1004;
programs under the Social 5(b)(4), (5). 42 CFR part 1005.
Security Act, for which
services may be provided on
the recommendation of a Peer
Review Organization.4. Proceedings to impose 31 U.S.C. 3803....... 45 CFR part 79.
civil penalties and
assessments for false claims
and statements.------------------------------------------------------------------------
Centers for Medicare & Medicaid Services------------------------------------------------------------------------1. Proceedings to suspend or 42 U.S.C. 263a(i); 42 CFR part 493,
revoke licenses of clinical 1395w-2. Subpart R.
laboratories.2. Proceedings provided to a 42 U.S.C. 1395h(e)(1)- 42 CFR 421.114,
fiscal intermediary before (3). 421.128.
assigning or reassigning
Medicare providers to a
different fiscal
intermediary.3. Appeals of determinations 42 U.S.C. 1395cc(h); 42 CFR 489.53(d);
that an institution or 1395dd(d)(1)(A). 42 CFR part 498.
agency is not a Medicare
provider of services, and
appeals of terminations or
nonrenewals of Medicare
provider agreements.4. Proceedings before the 42 U.S.C. 1395oo..... 42 CFR part 405,
Provider Reimbursement Subpart R.
Review Board when Department
employees appear as counsel
for the intermediary.5. Appeals of CMS 42 U.S.C. 1396i...... 42 CFR part 498.
determinations that an
intermediate care facility
for the mentally retarded
(ICFMR) no longer qualifies
as an ICFMR for Medicaid
purposes.6. Proceedings to impose 42 U.S.C. 1395i- 42 CFR part 1003.
civil monetary penalties, 3(h)(2)(B)(ii);
assessments, or exclusions 1395l(q)(2)(B)(i);
from Medicare and State 1395m(a)(11)(A),
health care programs. (c)(4)(C); 1395w-
2(b)(2)(A); 1395w-
4(g)(1), (g)(3)(B),
(g)(4)(B)(ii);
(4)(B)(ii);
1395nn(g)(5);
1395ss(a)(2),
(p)(8), (p)(9)(C),
(8), (p)(9)(C),
(q)(5)(C),
(5)(C),
(r)(6)(A), (s)(3),
(6)(A), (s)(3),
(t)(2);
(2);
1395bbb(f)(2)(A);
1396r(h)(3)(C)(ii);
1396r-8(b)(3)(B),
(C)(ii);
1396t(j)(2)(C);
1396u(h)(2).7. Appeals of exclusions from 42 U.S.C. 42 CFR part 498;
Medicare and State health 1395l(q)(2)(B)(ii); 42 CFR 1001.107.
care programs and/or other 1395m(a)(11)(A),
programs under the Social (c)(5)(C); 1395w-
Security Act. 4(g)(1), (g)(3)(B),
(g)(4)(B)(ii).------------------------------------------------------------------------
(4)(B)(ii).------------------------------------------------------------------------
Food and Drug Administration------------------------------------------------------------------------1. Proceedings to withdraw 21 U.S.C. 355(e)..... 21 CFR part 12; 21
approval of new drug CFR 314.200.
applications.2. Proceedings to withdraw 21 U.S.C. 360b(e), 21 CFR part 12; 21
approval of new animal drug (m). CFR part 514,
applications and medicated Subpart B.
feed applications.3. Proceedings to withdraw 21 U.S.C. 306e(e), 21 CFR part 12.
approval of medical device (g).
premarket approval
applications.------------------------------------------------------------------------
Office for Civil Rights------------------------------------------------------------------------1. Proceedings to enforce 42 U.S.C. 2000d-1.... 45 CFR 80.9.
Title VI of the Civil Rights
Act of 1964, which prohibits
discrimination on the basis
of race, color or national
origin by recipients of
Federal financial assistance.2. Proceedings to enforce 29 U.S.C. 794a; 42 45 CFR 84.61.
section 504 of the U.S.C. 2000d-1.
Rehabilitation Act of 1973,
which prohibits
discrimination on the basis
of handicap by recipients of
Federal financial assistance.3. Proceedings to enforce the 42 U.S.C. 6104(a).... 45 CFR 91.47.
Age Discrimination Act of
1975, which prohibits
discrimination on the basis
of age by recipients of
Federal financial assistance.4. Proceedings to enforce 20 U.S.C. 1682....... 45 CFR 86.71.
Title IX of the Education
Amendments of 1972, which
prohibits discrimination on
the basis of sex in certain
education programs by
recipients of Federal
financial assistance.------------------------------------------------------------------------ [69 FR 2847, Jan. 21, 2004]