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:
| Level | Name of Office | Sub-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 | No |
Types of Adjudication:
Type B
Verified by Agency:
Verified
Is this a Major Adjudication:
Yes
