ALJ Appeal Status Information System (AASIS)
AASIS Scheduled Maintenance:
Expected Impact:
Welcome to AASIS. This system allows you to check the status of appeals you have filed with the Office of Medicare Hearings and Appeals (OMHA).
OMHA appeal numbers starting with "3-" are available in AASIS as of February 2018.
Appeal Data Availability and Updates
It is important to note that your appeal will not appear in the AASIS system until it has been entered into OMHA’s case tracking system and uploaded to AASIS. Beneficiary requests for hearing submitted to the “Beneficiary Mail Stop” are entered into the OMHA case tracking system (“docketed”) upon receipt. Non-beneficiary requests for hearing are entered into the OMHA case tracking system on average within one week after receipt. (Requests with missing information take additional time.)
Appeal records and data in AASIS are generally updated weekly, with appeals that were entered into the OMHA case tracking system during the prior week. The date of the last update can be found at the bottom of the AASIS inquiry page.
Exceptions Regarding Appeal Availability and Status Data
Appeals that were decided or otherwise closed more than 180 days ago will not appear in the system.
Appeals for which you have requested settlement through CMS already entered into the case tracking system and appearing in AASIS may reflect the status of the appeal before settlement was requested.
Status Indicators
As of February 2018, AASIS provides more specific information regarding the status of appeals. The definitions of the status indicators are:
- Assigned - This appeal has been assigned, and will be reviewed by the OMHA adjudicator indicated.
- Deliberation - The decision for this appeal is being developed by the OMHA adjudicator indicated.
- Closed - If you have questions about the outcome of this appeal, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Dismissed) - The appeal has been dismissed. Please consult the Notice of Dismissal for information on further appeal rights, if any. If you are entitled to a copy of the dismissal and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Escalated) - The appeal has been escalated to the Medicare Appeals Council without a decision by an OMHA adjudicator at the request of the appellant. Any further inquiries should be directed to the Medicare Appeals Council.
- Closed (Exp Acc to Judicial Review) - The appeal has been elevated directly to federal district court without a decision by an OMHA Adjudicator based on a party’s request for Expedited Access to Judicial Review (EAJR) in accordance with the procedures in 42 C.F.R. §405.990 or §423.1990.
- Closed (Favorable) - The appeal has been decided favorably to the appellant. Please contact the Medicare Administrative Contractor for any issues related to effectuation and payment. If you are entitled to a copy of the decision and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Partially Favorable) - The appeal has been decided partially favorably to the appellant. Please consult the Notice of Decision for information on further appeal rights, if any. Please contact the Medicare Administrative Contractor for any issues related to effectuation and payment. If you are entitled to a copy of the decision and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Remanded) - The appeal has been remanded (returned) to the entity that issued the prior appeal determination for further action. Any further inquiries should be directed to that entity. If you are entitled to a copy of the remand and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Remanded QIC Phone Discussion) - The appeal has been remanded (returned) to the entity that issued the prior appeal determination for further action. Any further inquiries should be directed to that entity. If you are entitled to a copy of the remand and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Closed (Removed to Medicare Appeals Council) - The Medicare Appeals Council has assumed responsibility for holding a hearing in this case in accordance with 42 C.F.R. §405.1050 or §423.2050. Any further inquiries should be directed to the Medicare Appeals Council.
- Closed (Unfavorable) - The appeal has been decided unfavorably to the appellant. Please consult the Notice of Decision for information on further appeal rights, if any. If you are entitled to a copy of the decision and you do not receive it within 10 business days of the OMHA Decision Mailed Date, please contact the OMHA adjudication team at the phone number indicated.
- Combined - To provide a more efficient review, this appeal has been combined with another appeal. As a result of this combination, the appeal has been reassigned to the OMHA Appeal Number indicated above. To obtain updated appeal status, please search again using the New OMHA Appeal Number.
- Received - The Office of Medicare Hearings and Appeals is in receipt of your request for hearing or review. However, your appeal has not yet been assigned to an OMHA adjudicator for review. Due to exceptionally high volume a substantial delay should be expected before assignment of your appeal.
- Reopened - This appeal has been reopened at the direction of the Medicare Appeals Council or the OMHA adjudicator who decided the case. As a result of this reopening, the appeal has been reassigned to the New OMHA Appeal Number indicated. To obtain an updated appeal status, please search again using the New OMHA Appeal Number.
System Requirements
Query results will not display or print correctly for organizations using Internet Explorer 11 in "Enterprise Mode". In order to correct this, please have your system administrator add the AASIS URL to the Enterprise Mode exception list. If this is not feasible, please use an alternative web browser.
