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Office of Medicare Hearings and Appeals (OMHA)

OMHA Case Processing Manual (OCPM)

Table of Contents 


Division I.    General Matters

Chapter 1.  Manual Overview, Definition, Governance [PDF, 151KB]

Chapter 2.  Reserved

Chapter 3.  Reserved

Chapter 4.  Parties [PDF, 207KB]

Chapter 5.  Representatives [PDF, 210KB]

Chapter 6.  CMS and CMS Contractor Roles [PDF, 592KB]

Chapter 7.  Adjudication Time Frames


Division II.   Part A/B Claim Determinations

Chapter 1.  Request and Correspondence Intake [PDF, 202KB]

Chapter 2.  Docketing and Assignment [PDF, 225KB]

Chapter 3.  Procedural Screening [PDF, 248KB]

Chapter 4.  Administrative Record

Chapter 5.  Reserved

Chapter 6.  Pre-Hearing Case Development

Chapter 7.  Scheduling and Notices of Hearing

Chapter 8.  Reserved

Chapter 9.  Reserved

Chapter 10.  Reserved

Chapter 11.  Reserved

Chapter 12.  Reserved

Chapter 13.  Closing the Case

Division III.  Part C Organization Determinations

Division IV.  Part D Organization Determinations

Division V.   SSA Determinations

Content last reviewed on August 23, 2016