42 CFR §422.568(e)

May 23, 2020 3:33 pm | Published by

The notice of any denial under paragraph (d) of this section must –

(1) Use approved notice language in a readable and understandable form;

(2) State the specific reasons for the denial;

(3) Inform the enrollee of his or her right to a reconsideration;

(4)(i) For service denials describe both the standard and expedited reconsideration processes, including the enrollee’s right to, and conditions for, obtaining an expedited reconsideration and the rest of the appeals processes; and

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