StacksVerified U.S. regulatory reference

42 CFR §422.612

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
  1. (a)Review of ALJ's or attorney adjudicator's decision. Any party, including the MA organization, may request judicial review (upon notifying the other parties) of an ALJ's or attorney adjudicator's decision if—
    1. (1)The Council denied the party's request for review; and
    2. (2)The amount in controversy meets the threshold requirement established annually by the Secretary.
  2. (b)Review of Council decision. Any party, including the MA organization, may request judicial review (upon notifying the other parties) of the Council decision if it is the final decision of CMS and the amount in controversy meets the threshold established in paragraph (a)(2) of this section.
  3. (c)How to request judicial review. In order to request judicial review, a party must file a civil action in a district court of the United States in accordance with section 205(g) of the Act. See part 405 of this chapter for a description of the procedures to follow in requesting judicial review.