Office of Medicare Hearings and Appeals (OMHA)
Although OMHA is processing a record number of Medicare appeals, we continue to receive more requests for hearing than our Administrative Law Judges can adjudicate in a timely manner. OMHA remains committed to processing requests for hearing in the order received as quickly as possible given pending requests and adjudicatory resources. In addition, we continue to process Part D prescription drug denial cases that qualify for expedited status within 10 days and screen all incoming requests to ensure Medicare beneficiary issues are prioritized given they often present emergent circumstances that must be promptly addressed. Beneficiary requests for hearing submitted to the “Beneficiary Mail Stop” are entered into the OMHA case tracking system (“docketed”) upon receipt.
In all other circumstances, you (or your representative) will receive an Acknowledgement of Request letter after your request is entered into the OMHA case tracking system. As of September 2015, new non-beneficiary requests are being processed and entered in into the OMHA case tracking system in an average of approximately 3 weeks after receipt (however, please note that requests with missing information may take additional time). After the request is entered into the OMHA case tracking system it may take up to an additional week to display in OMHA’s ALJ Appeal Status Information System (AASIS). To check on the status of your appeal, you may access AASIS at http://aasis.omha.hhs.gov/. If your appeal does not display in AASIS within 6 weeks after you sent it to us, please contact us at 1-855-556-8475.
Health Data Sets
The Office of Medicare and Appeals has compiled data sets for public information as part of the Health Data Initiative.