Federal (United States) · Regulations
Subpart U — Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
56 sections
56 sections
- 42 C.F.R. § 423.1968Scope.
- 42 C.F.R. § 423.1978Reopening determinations and decisions.
- 42 C.F.R. § 423.1980Reopening of coverage determinations, redeterminations, reconsiderations, decisions, and reviews.
- 42 C.F.R. § 423.1982Notice of a revised determination or decision.
- 42 C.F.R. § 423.1984Effect of a revised determination or decision.
- 42 C.F.R. § 423.1986Good cause for reopening.
- 42 C.F.R. § 423.1990Expedited access to judicial review.
- 42 C.F.R. § 423.2000Hearing before an ALJ and decision by an ALJ or attorney adjudicator: General rule.
- 42 C.F.R. § 423.2002Right to an ALJ hearing.
- 42 C.F.R. § 423.2004Right to a review of IRE notice of dismissal.
- 42 C.F.R. § 423.2006Amount in controversy required for an ALJ hearing and judicial review.
- 42 C.F.R. § 423.2008Parties to the proceedings on a request for an ALJ hearing.
- 42 C.F.R. § 423.2010When CMS, the IRE, or Part D plan sponsors may participate in the proceedings on a request for an ALJ hearing.
- 42 C.F.R. § 423.2014Request for an ALJ hearing or a review of an IRE dismissal.
- 42 C.F.R. § 423.2016Timeframes for deciding an appeal of an IRE reconsideration.
- 42 C.F.R. § 423.2018Submitting evidence.
- 42 C.F.R. § 423.2020Time and place for a hearing before an ALJ.
- 42 C.F.R. § 423.2022Notice of a hearing before an ALJ.
- 42 C.F.R. § 423.2024Objections to the issues.
- 42 C.F.R. § 423.2026Disqualification of the ALJ or attorney adjudicator.
- 42 C.F.R. § 423.2030ALJ hearing procedures.
- 42 C.F.R. § 423.2032Issues before an ALJ or attorney adjudicator.
- 42 C.F.R. § 423.2034Requesting information from the IRE.
- 42 C.F.R. § 423.2036Description of an ALJ hearing process.
- 42 C.F.R. § 423.2038Deciding a case without a hearing before an ALJ.
- 42 C.F.R. § 423.2040Prehearing and posthearing conferences.
- 42 C.F.R. § 423.2042The administrative record.
- 42 C.F.R. § 423.2044Consolidated proceedings.
- 42 C.F.R. § 423.2046Notice of an ALJ or attorney adjudicator decision.
- 42 C.F.R. § 423.2048The effect of an ALJ's or attorney adjudicator's decision.
- 42 C.F.R. § 423.2050Removal of a hearing request from OMHA to the Council.
- 42 C.F.R. § 423.2052Dismissal of a request for a hearing before an ALJ or request for review of an IRE dismissal.
- 42 C.F.R. § 423.2054Effect of dismissal of a request for a hearing or request for review of an IRE's dismissal.
- 42 C.F.R. § 423.2056Remands of requests for hearing and requests for review.
- 42 C.F.R. § 423.2058Effect of a remand.
- 42 C.F.R. § 423.2062Applicability of policies not binding on the ALJ and Council.
- 42 C.F.R. § 423.2063Applicability of laws, regulations, CMS Rulings, and precedential decisions.
- 42 C.F.R. § 423.2100Medicare Appeals Council review: general.
- 42 C.F.R. § 423.2102Request for Council review when ALJ or attorney adjudicator issues decision or dismissal.
- 42 C.F.R. § 423.2106Where a request for review may be filed.
- 42 C.F.R. § 423.2108Council Actions when request for review is filed.
- 42 C.F.R. § 423.2110Council reviews on its own motion.
- 42 C.F.R. § 423.2112Content of request for review.
- 42 C.F.R. § 423.2114Dismissal of request for review.
- 42 C.F.R. § 423.2116Effect of dismissal of request for Council review or request for hearing.
- 42 C.F.R. § 423.2118Obtaining evidence from the Council.
- 42 C.F.R. § 423.2120Filing briefs with the Council.
- 42 C.F.R. § 423.2122What evidence may be submitted to the Council.
- 42 C.F.R. § 423.2124Oral argument.
- 42 C.F.R. § 423.2126Case remanded by the Council.
- 42 C.F.R. § 423.2128Action of the Council.
- 42 C.F.R. § 423.2130Effect of the Council's decision.
- 42 C.F.R. § 423.2134Extension of time to file action in Federal District Court.
- 42 C.F.R. § 423.2136Judicial review.
- 42 C.F.R. § 423.2138Case remanded by a Federal District Court.
- 42 C.F.R. § 423.2140Council Review of ALJ or attorney adjudicator decision in a case remanded by a Federal District Court.