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OMHA Case Processing Manual (OCPM)

Table of Contents

NOTE:  OMHA is in the process of revising the OCPM to reflect the final rule provisions that became effective March 20, 2017.  Updated versions of the chapters will be posted here as they become available.  The final rule is available at 82 Fed. Reg. 4974 (Jan. 17, 2017).

Division I.    General Matters

Chapter 1.  Manual Overview, Definition, Governance

Chapter 2.  Reserved

Chapter 3.  Reserved

Chapter 4.  Parties

Chapter 5.  Representatives

Chapter 6.  CMS and CMS Contractor Roles

Chapter 7.  Adjudication Time Frames

Division II.   Part A/B Claim Determinations

Chapter 1.  Request and Correspondence Intake

Chapter 2.  Docketing and Assignment

Chapter 3.  Procedural Screening

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

Chapter 1.  Request and Correspondence Intake

Chapter 2.  Docketing and Assignment

Chapter 3.  Procedural Screening

Chapter 4.  Administrative Record

Chapter 5.  Reserved

Chapter 6.  Reserved

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 IV.  Part D Organization Determinations

Chapter 1.  Request and Correspondence Intake

Chapter 2.  Docketing and Assignment

Chapter 3.  Procedural Screening

Chapter 4.  Administrative Record

Chapter 5.  Reserved

Chapter 6.  Reserved

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 V.   SSA Determinations

Chapter 1.  Request and Correspondence Intake

Chapter 2.  Docketing and Assignment

Chapter 3.  Procedural Screening

Chapter 4.  Administrative Record

Chapter 5.  Reserved

Chapter 6.  Reserved

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

Content created by Office of Medicare Hearings and Appeals (OMHA)
Content last reviewed on December 9, 2016