CMS Pub. 100-16, ch. 5, § 40.4.3

42 CFR §422.158(e)

Each application will be reviewed for completeness. Approximately 60 days after an

application has been determined to be complete, CMS will publish a proposed notice in

the Federal Register. This notice will announce that CMS has received an application

from the AO and is considering granting the organization’s application for MAO

deeming authority. The proposed notice will also describe the criteria that CMS will

use in evaluating the applications. CMS will provide a 30-day period for the public to

comment on the proposed notice.

After an application is determined to be complete, CMS has a 210-day period to review

the application and the comments from the proposed notice. At the end of the 210 days,

CMS will publish a final notice in the Federal Register indicating whether it has granted

the AO’s request for approval. If CMS has granted the request, the final notice will specify

the effective date of the deeming authority and the term of approval for deeming authority,

which may not exceed six years.

Within 210 days of receipt of its completed application, CMS must provide the AO with

a formal notice that:

1. Approves or denies the request;

2. Provides a detailed rationale in the case of a denial; and

3. Describes the reconsideration and reapplication procedures.

For information regarding reconsideration of adverse determinations

refer to section 40.4 of this chapter.