Article Detail - JF Part A
Where to Send Your Appeals - Appeals Newsletter Part 5
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 in the Direct Data Entry (DDE) system.
Redetermination: Submit written form, or through NMP
Reconsideration: Submit through the Portal, or send written form to 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:
- JF 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