1. Regulations
  2. title 42
  3. chapter IV-i1
  4. part 426
  5. subpart D
  6. § 426.416

View all text of Subpart D [§ 426.400 - § 426.490]

§ 426.416 - Role of Medicare Managed Care Organizations (MCOs) and State agencies in the LCD review.

Medicare MCOs and Medicaid State agencies have no role in the LCD review process. However, once the ALJ has issued its decision, the decision is made available to all Medicare MCOs and State agencies.

AUTHORITY: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh)

SOURCE: 68 FR 63716, Nov. 7, 2003, unless otherwise noted.

CITE AS: 42 CFR 426.416