OMHA is in charge of Level 3 of the coverage and claims appeals process. In order to appeal to OMHA, you must have passed through Level 1 and Level 2 of the appeals process. For more information, see "The Appeals Process."
Medicare Beneficiary and Medicare Advantage Part C Plan Enrollee or Part D Plan Enrollee Appeals and Assistance
To help ensure Medicare Beneficiary and Enrollee appeals are adjudicated as quickly as possible, OMHA designates appeals filed by Beneficiaries and Enrollees as priority appeals, with some exceptions.Learn more about appeals and assistance.
In this section of the web site, you will find the following:
|Request an ALJ Hearing||
|Tips for Filing a Request for ALJ Hearing or Review of Dismissal||
|Your ALJ Hearing||
|Documents for Your Hearing||
|After the OMHA Adjudicator's Decision, Remand, or Dismissal||
|Tips for a Timely Review||