Program specific review process: Core elements of review.

In adopting the procedures for review of matters described in § 457.1130, a State must ensure that— (a) Reviews are conducted by an impartial person or entity in accordance with § 457.1150; (b) Review decisions are timely in accordance with § 457.1160; (c) Review decisions are written; and (d) Applicants and enrollees have an opportunity to— (1) Represent themselves or have representatives of their choosing in the review process; (2) Timely review their files and other applicable information relevant to the review of the decision; (3) Fully participate in the review process, whether the review is conducted in person or in writing, including by presenting supplemental information during the review process; and (4) Receive continued enrollment and benefits in accordance with § 457.1170. [66 FR 2687, Jan. 11, 2001, as amended at 89 FR 22877, Apr. 2, 2024]