Due to an increase in providers sending appeals to an incorrect department or level, we are providing you with information on where to send your appeals.

Reopenings: Written, or complete through Direct Data Entry (DDE).

Redetermination: Submit written form, or through NMP

Reconsideration: Submit through Noridian Medicare Portal (NMP) or on paper to the QIC - Maximus Federal Services

Administrative Law Judge (ALJ) - Office of Medical Hearing and Appeals

Medicare Appeals Council Review - Departmental Appeals Board (DAB)

Federal Court Review - Judicial Review

Resources:

• JE Part A Appeals
• CMS Third Level of Appeal: Decision by Office of Medicare Hearings and Appeals (OMHA)
• CMS Review by the Medicare Appeals Council
• CMS Fifth Level of Appeal: Judicial Review in Federal District Court