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Guidelines

Guidelines for appellate review of decisions of ALJs supported by the DAB’s Civil Remedies Division:

  • Affecting a Provider’s Participation in the Medicare and Medicaid Programs
  • In Cases under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) and Related Statutes
  • Affecting a Provider’s or Supplier’s Enrollment in the Medicare Program
  • In Cases to which Procedures in 42 C.F.R. Part 1005 Apply
  • In Social Security Administration Cases to which Procedures in 20 C.F.R. Part 498 Apply
  • Relating to Imposition of Civil Money Penalties Based on Violations of the HIPAA Administrative Simplification Provisions
  • Under the Program Fraud Civil Remedies Act of 1986
  • Relating to Imposition of Civil Money Penalties Based on Violations of the Confidentiality Provisions of the Patient Safety and Quality Act
  • In Food and Drug Administration Cases Other Than Tobacco Products Cases
  • In Food and Drug Administration Tobacco Products Cases

Guidelines for appellate review of decisions of ALJs at the Department of the Interior Office of Hearings and Appeals:

  • In Indian Self-Determination Act Declinations
  • In Pre-Award Disputes under Title V of the Indian Self-Determination and Education Assistance Act

Other guidelines:

  • Civil Rights Reviewing Authority Review of Civil Rights Enforcement Decisions for HHS Programs
  • Review of Initial Decisions on Fee Applications Under the Equal Access to Justice Act
Content created by Departmental Appeals Board (DAB)
Content last reviewed July 21, 2017
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