42 CFR Subpart U
Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
June 11, 2020
§
423.2122
What evidence may be submitted to the Council
§
423.2140
Council Review of ALJ or attorney adjudicator decision in a case remanded by a Federal District Court
§
423.1968
Scope
§
§423.1970-423.1976
[Reserved]
§
423.2022
Notice of a hearing before an ALJ
§
423.1978
Reopening determinations and decisions
§
423.1980
Reopening of coverage determinations, redeterminations, reconsiderations, decisions, and reviews
§
423.1982
Notice of a revised determination or decision
§
423.1984
Effect of a revised determination or decision
§
423.1986
Good cause for reopening
§
423.1990
Expedited access to judicial review
§
423.2024
Objections to the issues
§
423.2000
Hearing before an ALJ and decision by an ALJ or attorney adjudicator: General rule
§
423.2002
Right to an ALJ hearing
§
423.2004
Right to a review of IRE notice of dismissal
§
423.2006
Amount in controversy required for an ALJ hearing and judicial review
§
423.2008
Parties to the proceedings on a request for an ALJ hearing
§
423.2010
When CMS, the IRE, or Part D plan sponsors may participate in the proceedings on a request for an ALJ hearing
§
423.2014
Request for an ALJ hearing or a review of an IRE dismissal
§
423.2016
Timeframes for deciding an appeal of an IRE reconsideration
§
423.2018
Submitting evidence
§
423.2020
Time and place for a hearing before an ALJ
§
423.2026
Disqualification of the ALJ or attorney adjudicator
§
423.2030
ALJ hearing procedures
§
423.2032
Issues before an ALJ or attorney adjudicator
§
423.2034
Requesting information from the IRE
§
423.2036
Description of an ALJ hearing process
§
423.2038
Deciding a case without a hearing before an ALJ
§
423.2040
Prehearing and posthearing conferences
§
423.2042
The administrative record
§
423.2044
Consolidated proceedings
§
423.2046
Notice of an ALJ or attorney adjudicator decision
§
423.2048
The effect of an ALJ's or attorney adjudicator's decision
§
423.2050
Removal of a hearing request from OMHA to the Council
§
423.2052
Dismissal of a request for a hearing before an ALJ or request for review of an IRE dismissal
§
423.2054
Effect of dismissal of a request for a hearing or request for review of an IRE's dismissal
§
423.2056
Remands of requests for hearing and requests for review
§
423.2058
Effect of a remand
§
423.2062
Applicability of policies not binding on the ALJ and Council
§
423.2063
Applicability of laws, regulations, CMS Rulings, and precedential decisions
§
423.2100
Medicare Appeals Council review: general
§
423.2120
Filing briefs with the Council
§
423.2102
Request for Council review when ALJ or attorney adjudicator issues decision or dismissal
§
423.2106
Where a request for review may be filed
§
423.2108
Council Actions when request for review is filed
§
423.2110
Council reviews on its own motion
§
423.2112
Content of request for review
§
423.2114
Dismissal of request for review
§
423.2116
Effect of dismissal of request for Council review or request for hearing
§
423.2118
Obtaining evidence from the Council
§
423.2124
Oral argument
§
423.2126
Case remanded by the Council
§
423.2128
Action of the Council
§
423.2130
Effect of the Council's decision
§
423.2134
Extension of time to file action in Federal District Court
§
423.2136
Judicial review
§
423.2138
Case remanded by a Federal District Court
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