Amount in Controversy Updates for 2018

November 9, 2017
Rick Gawenda
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provides for annual reevaluation of the dollar amount in controversy (AIC) required for an Administrative Law Judge (ALJ) hearing (third level review) and Federal District Court review (fifth level review).
For requests made on or after January 1, 2018:
The amount that must remain in controversy for ALJ hearing requests will remain at $160.
The amount that must remain in controversy for Federal District Court review is increased to $1,600.
I hope this article will help you with your appeals at the third and fifth levels. Thank you for being a Gold Member

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