- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Tip Sheet for Medicare Providers on First Level of Appeals (Redeterminations)
- Five Levels of Appeals
- Request a Redetermination
- Request a Redetermination
- Request a Redetermination
- Request a Redetermination
- Submit a Reconsideration
- Submit a Reconsideration
- ALJ Hearing
- Medicare Appeals Council Review
- Federal Court Review
Federal Court Review
The fifth level of appeal is carried out by the Federal District Court (U.S. District Court).
- Time limit to initiate = 60 days from date of receipt of Medicare Appeals Council decision
- Amount in Controversy = $1,840 (effective 1/1/2024)
- Note: The amount in controversy for CY 2023 was $1,850.
Submit a Federal Court Review
In Writing
Send requests for a Federal Court Review to:
Department of Health and Human Services
General Counsel
200 Independence Avenue, SW
Washington, DC 20201
Revised 2/19/2024