ALJ Hearings

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Federal Health Insurance for the Aged and Disabled
  7. Determinations, Redeterminations, Reconsiderations, and Appeals Under Original Medicare (Part A and Part B)
  8. ALJ Hearings

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Section
405.1000

Hearing before an ALJ and decision by an ALJ or attorney adjudicator: General rule.

Section
405.1002

Right to an ALJ hearing.

Section
405.1004

Right to a review of QIC notice of dismissal.

Section
405.1006

Amount in controversy required for an ALJ hearing and judicial review.

Section
405.1008

Parties to the proceedings on a request for an ALJ hearing.

Section
405.1010

When CMS or its contractors may participate in the proceedings on a request for an ALJ hearing.

Section
405.1012

When CMS or its contractors may be a party to a hearing.

Section
405.1014

Request for an ALJ hearing or a review of a QIC dismissal.

Section
405.1016

Time frames for deciding an appeal of a QIC reconsideration or escalated request for a QIC reconsideration.

Section
405.1018

Submitting evidence.

Section
405.1020

Time and place for a hearing before an ALJ.

Section
405.1022

Notice of a hearing before an ALJ.

Section
405.1024

Objections to the issues.

Section
405.1026

Disqualification of the ALJ or attorney adjudicator.

Section
405.1028

Review of evidence submitted by parties.

Section
405.1030

ALJ hearing procedures.

Section
405.1032

Issues before an ALJ or attorney adjudicator.

Section
405.1034

Requesting information from the QIC.

Section
405.1036

Description of an ALJ hearing process.

Section
405.1037

Discovery.

Section
405.1038

Deciding a case without a hearing before an ALJ.

Section
405.1040

Prehearing and posthearing conferences.

Section
405.1042

The administrative record.

Section
405.1044

Consolidated proceedings.

Section
405.1046

Notice of an ALJ or attorney adjudicator decision.

Section
405.1048

The effect of an ALJ's or attorney adjudicator's decision.

Section
405.1050

Removal of a hearing request from OMHA to the Council.

Section
405.1052

Dismissal of a request for a hearing before an ALJ or request for review of a QIC dismissal.

Section
405.1054

Effect of dismissal of a request for a hearing or request for review of QIC dismissal.

Section
405.1056

Remands of requests for hearing and requests for review.

Section
405.1058

Effect of a remand.