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US · guidance

CMS Pub. 100-08, ch. 3, § 3.9.2

Coordination of the ALJ Hearing

activein force · 2026-08-25 – presentas-observed

As needed, if multiple entities are participating in a hearing as a party, participant, or

witness, the QIC will set up a brief pre-hearing conference call to discuss the respective

entity’s participation in the case, roles and responsibilities, etc. Examples in which this

may be necessary include high dollar cases, extrapolated overpayments, policy

implications, and/or fraud related cases, etc.

Pre-hearing briefing topics may include: coordination with OMHA on scheduling

matters, the manner of participation, coordination on position papers or other written

testimony submitted, and lessons learned from participation in the ALJ process.

There may be cases in which testimony from another contractor is necessary. The

contractor may call those entities as a witness only if the contractor has declared party

status. However, if the contractor submits a position paper as a participant, the contractor

may collaborate with other contractors and document their views on the case in the

paper—although only one contractor may typically participate via the hearing.

The contractor shall establish a single point of contact for ALJ offices on administrative

matters involving notifications, scheduling, information sharing, and other coordination

necessary between the ALJ, the appellant, and other contractors.

History

(Rev. 748, Issued: 10-13-17; Effective: 11-14-17; Implementation: 11-14-17)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
8827379e2a53209195a082fba5c9914a23174125ebbbf505952b62083c062423
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