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Annual Update to Annual Threshold Amounts for Medicare Appeals

Posted on Monday, October 14, 2019 12:28 PM

The annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process has been updated. The adjustment to the AIC threshold amounts will be effective for requests for ALJ hearings and judicial review filed on or after January 1, 2020. The calendar year 2020 AIC threshold amounts are $170 for ALJ hearings and $1,670 for judicial review.

This amount applies to Medicare appeals including Medicare Part A and Part B, Part C/Medicare Advantage, Part D and Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans.

Source: NAHC Report

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