Medicare Appeals Council Review

  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. Medicare Appeals Council Review

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Section
405.1100

Medicare Appeals Council review: General.

Section
405.1102

Request for Council review when ALJ or attorney adjudicator issues decision or dismissal.

Section
405.1106

Where a request for review or escalation may be filed.

Section
405.1108

Council actions when request for review or escalation is filed.

Section
405.1110

Council reviews on its own motion.

Section
405.1112

Content of request for review.

Section
405.1114

Dismissal of request for review.

Section
405.1116

Effect of dismissal of request for Council review or request for hearing.

Section
405.1118

Obtaining evidence from the Council.

Section
405.1120

Filing briefs with the Council.

Section
405.1122

What evidence may be submitted to the Council.

Section
405.1124

Oral argument.

Section
405.1126

Case remanded by the Council.

Section
405.1128

Action of the Council.

Section
405.1130

Effect of the Council's decision.

Section
405.1132

Request for escalation to Federal court.

Section
405.1134

Extension of time to file action in Federal district court.

Section
405.1136

Judicial review.

Section
405.1138

Case remanded by a Federal district court.

Section
405.1140

Council review of ALJ decision in a case remanded by a Federal district court.