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Fifth Level of Appeal: Judicial Review in Federal District Court

In 2011, if $1,300 or more is still in controversy following the Medicare Appeals Council's decision, judicial review before a Federal District Court judge may be requested. The appellant must request a Federal District Court hearing within 60 days of receipt of the Medicare Appeals Council's decision. For calendar year 2012, the amount in controversy will increase to $1,350.

You may view the Federal Register notices on the 2011 and 2012 amounts in controversy by clicking on the links in the "Related Links Outside CMS" section below.

Filing a Request for Judicial Review

The Medicare Appeals Council's decision will contain information about the procedures for requesting judicial review.

Please note that the amount in controversy required to request a judicial review is increased annually by the percentage increase in the medical care component of the consumer price index for all urban consumers. 

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Information on Amount in Controversy for 2011 [PDF, 50 KB]

Information on Amount in Controversy for 2012 [PDF, 73 KB]

 

Page Last Modified: 09/29/2011 9:49:57 AM
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