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