New Request for ALJ Hearing

Dianne De La Mare

The Office of Medicare Hearings and Appeals (OMHA) has introduced a new unified Request for ALJ Hearing or Review of Dismissal form (OMHA-100) to replace the current Request for ALJ Hearing form (CMS-2003A/B) and Request for Review of Dismissal form (HHS-725). An accompanying Multiple Claim Attachment (OMHA-100A) can be used to identify multiple beneficiaries or enrollees associated with a single request.