Subpart U - REOPENING, ALJ HEARINGS AND ALJ AND ATTORNEY ADJUDICATOR DECISIONS, COUNCIL REVIEW, AND JUDICIAL REVIEW
- Section 423.1968 - Scope
- Section 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