Medicare program; appeals procedures for determinations that affect participation in Medicare--HCFA. Final rule with comment period

These rules update and clarify policy and appeals from determinations that affect participation of providers, suppliers, and practitioners in the Medicare program. This policy is currently set forth in Subpart 0 of Part 405 of the Medicare rules. Revision is needed to conform these rules with changes that have been made in other regulations and in the delegations of authority since Subpart 0 was published. The purpose is to achieve internal consistency of all Medicare rules and to ensure that users of our regulations are not misled or confused by language that does not reflect current policy and delegations of authority.