To view the Appeals Fact Sheets, click on the link in the " Downloads" section below. These reports summarize and highlight some of the key data on redeterminations from Januthrough December 31, 2022. The decision will contain detailed information on further appeals rights, where applicable. Generally, the MAC will send its decision (either in a letter, an RA, and/or an MSN) to all parties within 60 days of receipt of the request for redetermination. NOTE: A QIC’s review of a contractor’s dismissal of a redetermination request is binding and not subject to any further review - see 42 CFR 405.974(b)(3). Vacate dismissal and issue redetermination decision Vacate dismissal and remand case to MAC for redetermination Is there good and sufficient cause for dismissal?
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