INITIAL DETERMINATIONS
- Section 405.920 - Initial determinations
- Section 405.921 - Notice of initial determination
- Section 405.922 - Time frame for processing initial determinations
- Section 405.924 - Actions that are initial determinations
- Section 405.925 - Decisions of utilization review committees
- Section 405.926 - Actions that are not initial determinations
- Section 405.927 - Initial determinations subject to the reopenings process
- Section 405.928 - Effect of the initial determination
- Section 405.929 - Post-payment review
- Section 405.930 - Failure to respond to additional documentation request