§ 405.1044 - Consolidated proceedings.  


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  • § 405.1044 Consolidated hearing before an ALJ.

    proceedings.

    (a) Consolidated hearing.

    (1) A consolidated hearing may be held if one or more of the issues to be considered at the hearing are the same issues that are involved in

    another request for hearing or hearings

    one or more other appeals pending before the same ALJ.

    (

    b

    2) It is within the discretion of the ALJ to grant or deny an appellant's request for consolidation. In considering an appellant's request, the ALJ may consider factors such as whether the claims at issue may be more efficiently decided if the

    requests

    appeals are consolidated for hearing

    are combined

    . In considering the appellant's request for consolidation, the ALJ must take into account

    the

    any adjudication deadlines for each

    case

    appeal and may require an appellant to waive the adjudication deadline associated with one or more

    cases

    appeals if consolidation otherwise prevents the ALJ from deciding all of the appeals at issue within their respective deadlines.

    (

    c

    3) The ALJ may also propose on his or her own motion to consolidate two or more

    cases

    appeals in one hearing for administrative efficiency, but may not require an appellant to waive the adjudication deadline for any of the consolidated cases.

    (

    d

    4)

    Before consolidating

    Notice of a consolidated hearing

    , the ALJ must notify CMS of his or her intention to do so, and CMS may then elect to participate in the consolidated hearing, as a party, by sending written notice to the ALJ within 10 calendar days after receipt of the ALJ's notice of the consolidation. (e)

    must be included in the notice of hearing issued in accordance with §§ 405.1020 and 405.1022.

    (b) Consolidated or separate decision and record.

    (1) If the ALJ decides to hold a consolidated hearing, he or she may make

    either a

    either—

    (i) A consolidated decision and record; or

    (ii) A separate decision and record on each appeal.

    (2) If a separate decision and record on each

    claim. The ALJ ensures

    appeal is made, the ALJ is responsible for making sure that any evidence that is common to all

    claims

    appeals and material to the common issue to be decided

    is

    , and audio recordings of any conferences that were conducted and the consolidated hearing are included in

    the consolidated record or

    each individual administrative record, as applicable.

    [70 FR 11472, Mar. 8, 2005, as amended at 74 FR 65336, Dec. 9, 2009

    (3) If a hearing will not be conducted for multiple appeals that are before the same ALJ or attorney adjudicator, and the appeals involve one or more of the same issues, the ALJ or attorney adjudicator may make a consolidated decision and record at the request of the appellant or on the ALJ's or attorney adjudicator's own motion.

    (c) Limitation on consolidated proceedings. Consolidated proceedings may only be conducted for appeals filed by the same appellant, unless multiple appellants aggregated claims to meet the amount in controversy requirement in accordance with § 405.1006 and the beneficiaries whose claims are at issue have all authorized disclosure of their protected information to the other parties and any participants.

    [82 FR 5118, Jan. 17, 2017]