Office of Medicare Hearings and Appeals (OMHA)
OMHA was created by the Medicare Modernization Act of 2003 to simplify the appeals process and make it more efficient. During an appeal, an OMHA Administrative Law Judge conducts a new ("de novo") review of an appellant's case and issues a decision based on the facts and the law.
The Chief Administrative Law Judge leads the entire agency, which consists of four field offices and a headquarters office. Each field office includes many Administrative Law Judges who are overseen by an Associate Chief Administrative Law Judge. Appeals are assigned to these Administrative Law Judges by a Centralized Docketing Division in accordance with standardized procedures.
LegislationThe Legislation section includes background information on the laws that govern OMHA, your privacy rights, and Medicare.