42 C.F.R. § 423.1086
Effect of Departmental Appeals Board Decision.
Cite as 42 C.F.R. § 423.1086 (2026)
(a)
General rule.
The Board's decision is binding unless—
(1) The affected party has a right to judicial review and timely files a civil action in a United States District Court or, in the case of a civil money penalty, in a United States Court of Appeals; or
(2) The Board reopens and revises its decision in accordance with 423.1092.
(b)
Right to judicial review.
Section 423.1006 specifies the circumstances under which an affected party has a right to seek judicial review.
(c)
Special rules: Civil money penalty.
Finality of Board's decision. When CMS imposes a civil money penalty, notice of the Board's decision (or denial of review) is the final administrative action that initiates the 60-calendar day period for seeking judicial review.