Federal Court Review

Any party to the Medicare Appeals Council (Appeals Council) decision or an appellant who requests escalation to Federal district court if the Appeals Council does not complete its review of an ALJ decision within the applicable adjudication period, may seek Federal court review if the amount remaining in controversy (AIC) satisfies the requirements set forth in 42 CFR §405.1006(c).

Time Limit for Filing Request Monetary Threshold to be Met Time Limit to Complete Appellant's Request Where to File
60 days from date of receipt of DAB decision or declination of DAB review $1,900 for 2025 None Refer to DAB decision

 

View more information on the CMS Fifth Level of Appeal: Judicial Review in Federal District Court webpage.

 

Last Updated Oct 28 , 2024