PocketLaw | CFR 42 | Reopening, ALJ Hearings and ALJ and Attorney

Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review

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Section
423.1968

Scope.

Sections
423.1970-423.1976

§§ 423.1970-423.1976 [Reserved]

Section
423.1978

Reopening determinations and decisions.

Section
423.1980

Reopening of coverage determinations, redeterminations, reconsiderations, decisions, and reviews.

Section
423.1982

Notice of a revised determination or decision.

Section
423.1984

Effect of a revised determination or decision.

Section
423.1986

Good cause for reopening.

Section
423.1990

Expedited access to judicial review.

Section
423.2000

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

Section
423.2002

Right to an ALJ hearing.

Section
423.2004

Right to a review of IRE notice of dismissal.

Section
423.2006

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

Section
423.2008

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

Section
423.2010

When CMS, the IRE, or Part D plan sponsors may participate in the proceedings on a request for an ALJ hearing.

Section
423.2014

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

Section
423.2016

Timeframes for deciding an appeal of an IRE reconsideration.

Section
423.2018

Submitting evidence.

Section
423.2020

Time and place for a hearing before an ALJ.

Section
423.2022

Notice of a hearing before an ALJ.

Section
423.2024

Objections to the issues.

Section
423.2026

Disqualification of the ALJ or attorney adjudicator.

Section
423.2030

ALJ hearing procedures.

Section
423.2032

Issues before an ALJ or attorney adjudicator.

Section
423.2034

Requesting information from the IRE.

Section
423.2036

Description of an ALJ hearing process.

Section
423.2038

Deciding a case without a hearing before an ALJ.

Section
423.2040

Prehearing and posthearing conferences.

Section
423.2042

The administrative record.

Section
423.2044

Consolidated proceedings.

Section
423.2046

Notice of an ALJ or attorney adjudicator decision.

Section
423.2048

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

Section
423.2050

Removal of a hearing request from OMHA to the Council.

Section
423.2052

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

Section
423.2054

Effect of dismissal of a request for a hearing or request for review of an IRE's dismissal.

Section
423.2056

Remands of requests for hearing and requests for review.

Section
423.2058

Effect of a remand.

Section
423.2062

Applicability of policies not binding on the ALJ and Council.

Section
423.2063

Applicability of laws, regulations, CMS Rulings, and precedential decisions.

Section
423.2100

Medicare Appeals Council review: general.

Section
423.2102

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

Section
423.2106

Where a request for review may be filed.

Section
423.2108

Council Actions when request for review is filed.

Section
423.2110

Council reviews on its own motion.

Section
423.2112

Content of request for review.

Section
423.2114

Dismissal of request for review.

Section
423.2116

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

Section
423.2118

Obtaining evidence from the Council.

Section
423.2120

Filing briefs with the Council.

Section
423.2122

What evidence may be submitted to the Council.

Section
423.2124

Oral argument.

Section
423.2126

Case remanded by the Council.

Section
423.2128

Action of the Council.

Section
423.2130

Effect of the Council's decision.

Section
423.2134

Extension of time to file action in Federal District Court.

Section
423.2136

Judicial review.

Section
423.2138

Case remanded by a Federal District Court.

Section
423.2140

Council Review of ALJ or attorney adjudicator decision in a case remanded by a Federal District Court.