# Medicare Program: Appeal Rights for Certain Changes in Patient Status
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2024-10-15 · Effective 2024-10-11 · 89 FR 83240
## Document
- **Document number:** 2024-23195
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 89 FR 83240
- **CFR reference:** 42 CFR 405
- **Publication date:** 2024-10-15
- **Effective date:** 2024-10-11
- **HHS docket:** CMS-4204-F
## Abstract

This final rule implements an order from the Federal district court for the District of Connecticut in Alexander v. Azar that requires HHS to establish appeals processes for certain Medicare beneficiaries who are initially admitted as hospital inpatients but are subsequently reclassified as outpatients receiving observation services during their hospital stay and meet other eligibility criteria.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2024/10/15/2024-23195/medicare-program-appeal-rights-for-certain-changes-in-patient-status)
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