- 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 = The amount that must remain in controversy for reviews in Federal District Court requested on or before 12/31/2024 is $1,840. This amount will increase to $1,900 for appeals to Federal District Court filed on or after 1/1/2025.
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 11/21/2024