Section 433.114 - Procedures for obtaining initial approval; notice of decision(a) To obtain initial approval, the Medicaid agency must inform CMS in writing that the system meets the conditions specified in § 433.116(c) through (i) .(b) If CMS disapproves the system, the notice will include all of the following information: (1) The findings of fact upon which the determination was made.(2) The procedures for appeal of the determination in the context of a reconsideration of the resulting disallowance to the Departmental Appeals Board.50 FR 30847, July 30, 1985, as amended at 54 FR 41973, Oct. 13, 1989; 76 FR 21974, Apr. 19, 2011