- 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
Medicare Appeals Council Review
The fourth level of appeal is carried out by the MAC; this may also be referred to as the Department Appeals Board or DAB.
- Time limit to initiate = 60 days from date of receipt of ALJ decision
- Time limit to complete the review = 90 days
- Amount in controversy—no minimum amount
Submit a MAC Review
In Writing
Complete the Request for Review of Administrative Law Judge (ALJ) Medicare Decision/Dismissal form and send requests for a MAC review to:
Department of Health and Human Services
Departmental Appeals Board
Medicare Appeals Council, MS 6127
Cohen Building Room G-644
330 Independence Ave., S.W.
Washington, D.C. 20201
Reviewed 11/21/2024