Hearing Request
Reconsideration (Second Level of Appeal)
If you received a redetermination on or after January 1, 2006, and you are dissatisfied with the decision, the next level is a reconsideration with the Qualified Independent Contractors (QIC). There is no minimum dollar amount required for requesting a reconsideration. In addition, the request for reconsideration must be filed within 180 days of the date of receipt of the notice of redetermination. Finally, requests must be submitted on CMS Form 20033 and can be obtained by clicking here. You would then mail your request to the QIC at the below address:
First Coast Service Options, Inc.
QIC Part B North Reconsiderations
P.O. Box 45208
Jacksonville, FL 32232-5208
First Coast Service Options, INC. Begins QIC Part B North Operations Effective November 15, 2006
Administrative Law Judge Hearing
You may appeal the Qualified Independent Contractor's (QIC) decision to an Administrative Law Judge (ALJ) when the amount in controversy is $110 or more and the initial claim determination is dated on or after January 1, 2006. You may combine a number of claims to meet the $110 minimum. For initial claim determinations dated prior to January 1, 2006, the amount in controversy must be $100 or more to be accepted for an ALJ hearing.
All ALJ hearings must be requested within 60 days after the date of receipt of the reconsideration notice. The next levels of appeal following an ALJ Hearing are Department Appeals Board (DAB) Review and a Federal Court Review.
The address to request an ALJ hearing is:
HHS OMHA Field Office
BP Tower & Gargage
200 Public Square, Suite 1300
Cleveland, Ohio 44114-2316
Page Last Updated: Monday, 09-Jun-2008 13:34:18 CDT
