Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 250.1

Amount in Controversy General Requirements

Last amended: 2019Year: 2019Length: 130 wordsOfficial source
250.1 - Amount in Controversy General Requirements (Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19) Each calendar year, the dollar threshold for the AIC requirement for ALJ hearing requests or judicial review will be recalculated to reflect the percentage increase in the medical care component of the consumer price index for all urban consumers (U.S. city average) for July 2003 to the July preceding the year involved. Any amount that is not a multiple of $10 will be rounded to the nearest multiple of $10. Changes to the amount in controversy threshold amounts are published annually in the Federal Register as per 42 CFR 405.1006(b). Current AIC amounts, along with a link to the current Federal Register AIC Notice, can be found on the CMS.gov website at: https://www.cms.gov/Medicare/Appeals-and- Grievances/OrgMedFFSAppeals/OMHA-ALJ-Hearing.html
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 250.1: Amount in Controversy General Requirements | Justis AI