US · guidance
CMS Pub. 100-10, ch. 9, § 9065.3
Right to an Administrative Review
A practitioner or other person dissatisfied with an OIG determination or an exclusion that
resulted from a determination not being made within 120 days is entitled to a hearing
before an ALJ in accordance with §205(b) of the Act. If the practitioner or other person is
dissatisfied with the ALJ’s decision, he/she may appeal that decision and obtain a final
determination from the Department Appeals Board (DAB). (See 42 CFR §1005.21.)
History
(Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
24c523de68346eeb7d943ba1fb6f9de09751f4646d876a284fe7fec0657bc098
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