Each year, the Centers for Medicare and Medicaid Services (CMS) issues the dollar amount that must be met in order to appeal to the Administrative Law Judge (ALJ). For calendar year 2026, that dollar amount is

The Centers for Medicare and Medicaid Services has announced the dollar amount that must remain in controversy to sustain appeal rights beginning January 1, 2021. The amount that must remain in controversy for Administrative Law Judge (ALJ) hearing requests filed on or after January 1, 2021, is $180. This is an increase of $10.00 from calendar year 2020.  The amount that must remain in controversy for reviews in Federal District Court requested on or after January 1, 2021, is $1,760. This is an increase of $90.00 from calendar year 2020.