Federal District Court Review
If the Medicare Appeals Council (Appeals Council) issues an adverse decision, or the Appeals Council denies the enrollee's request for review of an Administrative Law Judge's or attorney adjudicator's decision, any party, including the MA organization, may request judicial review by a Federal District Court.
How to Request Review by a Federal District Court
All requests must be made in writing and be filed with the proper Federal District Court within 60 calendar days after receipt of the notice of the Appeal Council's decision. To request review by a Federal District Court, the amount remaining in controversy (AIC) must meet a threshold requirement. This amount is recalculated each year and may change. For calendar year 2019, the amount in controversy is $1,630. For calendar year 2020, the amount in controversy rises to $1,670. To view the Federal Register AIC notices, see the "Related Links" section below.
For a description of the procedures an appellant must follow to request judicial review, or information about how the amount remaining in controversy is computed, go to section 70 in the Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance in the "Downloads" section below.