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Expect longer delays at the ALJ

Expect longer delays at the ALJ

WASHINGTON - The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice.

Requests for hearings received after July 15, 2013, will be entered into the agency's case processing system and held until there is room on an Administrative Law Judge's (ALJ) docket for adjudication. When a request is assigned, a notice will be sent, according to the notice.

The ALJs have been backlogged for more than a year, thanks to increased levels of audits and appeals.

The notice also sates that OHMA will continue to process Part D prescription drug denial cases that qualify for expedited status within 10 days and will screen all incoming requests to make sure beneficiary issues are prioritized.


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