WASHINGTON, Dec. 4 -- Centers for Medicare & Medicaid Services has issued a notice called: Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2026.
The notice was published in the Federal Register on Dec. 4 by Trenesha Fultz-Mimms, Federal Register Liaison, Centers for Medicare & Medicaid Services.
Summary: This notice announces the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The adjustment to the AIC threshold amounts will be effective for requests for ALJ hearings and judicial review filed on or after January 1, 2026. The calendar year 2026 AIC thresho...