42 CFR 498.30 : Public Health (Part 1 To Parts 1009-1099) — (§ 482.1 To Parts 1009-1099) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 482.1 To Parts 601-699) — Standards And Certification (§ 482.1 To § 498.103) — Appeals Procedures For Determinations That Affect Participation In The Medicare Program And For Determinations That Affect The Participation Of Icfs/Iid And Certain Nfs In The Medicaid Program (§ 498.1 To § 498.103) — Reopening Of Initial Or Reconsidered Determinations (§ 498.30 And § 498.32) — Limitation on reopening.

4 Aug 2016

An initial or reconsidered determination that a prospective provider is a provider or that a hospital qualifies to elect to claim payment for all emergency services furnished in a calendar year may not be reopened. CMS or the OIG, as appropriate, may on its own initiative, reopen any other initial or reconsidered determination, within 12 months after the date of notice of the initial determination.

42 CFR 498.30