Medicare Managed Care Manual (Pub. 100-16), Ch. 14 § 20.4
Parties to the Hearing
20.4 - Parties to the Hearing
(Rev. 122, Issued: 05-27-16, Effective: 06-28-16, Implementation: 06-28-16)
The parties to a hearing are:
•
An entity that has been determined to be unqualified to enter into an MA
contract with CMS;
•
An entity that has been determined to be unqualified to offer a SNP;
•
An entity that has been determined to be unqualified to complete a SAE;
•
A MAO whose contract with CMS has been terminated or has not been
renewed as a result of a contract determination; and
•
CMS.
Additionally, any interested parties who make a showering that their rights may be
prejudiced by the hearing decision may be added as a party to the hearing at the
discretion of the hearing officer.