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Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review | Midpage
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Code of Federal Regulations
Title 42
Chapter IV
Subchapter B
Part 423
Subpart U
Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
423.1968
Scope.
423.1970-423.1976
[Reserved]
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.
423.2000
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.
423.2022
Notice of a hearing before an ALJ.
423.2024
Objections to the issues.
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.
423.2102
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.
423.2120
Filing briefs with the Council.
423.2122
What evidence may be submitted to 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.
423.2140
Council Review of ALJ or attorney adjudicator decision in a case remanded by a Federal District Court.