Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.5.3
Final Reconsideration Determinations
40.5.3 - Final Reconsideration Determinations
(Rev. 117, Issued: 08-08-14, Effective: 08-08-14, Implementation: 08-08-14)
The hearing officer’s decision is final unless the CMS Administrator, within 30 days of
the hearing officer’s decision, chooses to review that decision. The CMS Administrator
may accept, reject, or modify the hearing officer’s findings. Should the CMS
Administrator choose to review the hearing officer’s decision, the Administrator will issue
a final reconsideration determination to the AO on the basis of the hearing officer’s
findings and recommendations and other relevant information. The reconsideration
determination of the CMS Administrator is final. The final reconsideration determination
against an AO will be published by CMS in the Federal Register.