Scheme Nickname: 
Exchange-based (Marketplace) health insurance eligibility appeals functions

This scheme involves claims for exchange-based (Marketplace) health insurance eligibility under the Patient Protection and Affordable Care Act of 2010 (26 U.S.C. ยง 36) Hearing procedures set forth at 45 C.F.R. 147 et. seq.

Adjudication Levels: 
LevelName of OfficeSub-Agency/Bureau/Division:Are administrative appeals permitted from final decisions at this stage?
Hearing Level
Centers for Medicare and Medicaid
Yes (All Types of Cases)
Appeal Level 1
Centers for Medicare and Medicaid
Types of Adjudication: 
Type B
Verified by Agency: 
Is this a Major Adjudication: