42 C.F.R. § 431.210 : Public Health — CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES — MEDICAL ASSISTANCE PROGRAMS — STATE ORGANIZATION AND GENERAL ADMINISTRATION — FAIR HEARINGS FOR APPLICANTS AND BENEFICIARIES —NOTICE — Content of notice

A notice required under §431.206 (c)(2), (c)(3), or (c)(4) of this subpart must contain-

(a) A statement of what action the agency, skilled nursing facility, or nursing facility intends to take and the effective date of such action;
(b) A clear statement of the specific reasons supporting the intended action;
(c) The specific regulations that support, or the change in Federal or State law that requires, the action;
(d) An explanation of-
(1) The individual's right to request a local evidentiary hearing if one is available, or a State agency hearing; or
(2) In cases of an action based on a change in law, the circumstances under which a hearing will be granted; and
(e) An explanation of the circumstances under which Medicaid is continued if a hearing is requested.

42 C.F.R. §431.210

44 FR 17932, 3/29/1979, as amended at 57 FR 56505, 11/30/1992; 81 FR 86448, 1/20/2017