C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED › Subpart I—Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)

42 C.F.R. § 405.958

Effect of a redetermination

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In accordance with section 1869(a)(3)(D) of the Act, once a redetermination is issued, it becomes part of the initial determination. The redetermination is binding upon all parties unless—

(a) A reconsideration is completed in accordance with § 405.960 through § 405.978; or

(b) The redetermination is revised as a result of a reopening in accordance with § 405.980.

[70 FR 11472, Mar. 8, 2005, as amended at 74 FR 65333, Dec. 9, 2009]
Notes of Decisions
Cited in 1 case (1 in the last 5 years), 2022–2022 · leading case: First United Methodist Church v. Becerra (D. Neb. 2022).
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First United Methodist Church v. Becerra (D. Neb. 2022). · cites it 2× “” 42 C.F.R. § 405.958 . “The redetermination is binding upon all parties unless—(a) A reconsideration is completed in accordance with § 405.”
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