Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter B - Medicare Program |
Part 417 - Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans |
Subpart Q - Beneficiary Appeals |
§ 417.636 - Court review.
-
Link to an amendment published at 70 FR 4713, Jan. 28, 2005. (a)
Review of ALJ's decision. A party or the HMO or CMP may request judicial review of an ALJ's decision if—(1) The Departmental Appeals Board denied the party's or the HMO's or CMP's request for review; and
(2) The amount in controversy is $1,000 or more.
(b)
Review of Departmental Appeals Board decision. A party or the HMO or CMP may request judicial review of the Departmental Appeals Board decision if—(1) It is the final decision of CMS; and
(2) The amount in controversy is $1,000 or more.
(c)
Request for review. The civil action must be filed in a district court of the United States in accordance with section 205(g) of the Act (see 20 CFR 422.210 for a description of the procedures to follow in requesting judicial review).Effective Date Note: At 70 FR 4713, Jan. 28, 2005, § 417.636 was removed, effective January 1, 2006.