42 C.F.R. § 431.246 : 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 —PROCEDURES — Corrective action
The agency must promptly make corrective payments, retroactive to the date an incorrect action was taken, and, if appropriate, provide for admission or readmission of an individual to a facility if-
(a) The hearing decision is favorable to the applicant or beneficiary; or
(b) The agency decides in the applicant's or beneficiary's favor before the hearing.