# Federal Register #CMS-4213-N

Annual Adjustment to Medicare Appeals Threshold Amounts for 2027

**Buyer:** Centers for Medicare & Medicaid Services
**Posted:** September 16, 2026
**Identifier:** CMS-4213-N

This notice from the Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services (HHS), announces regulatory adjustments for Medicare appeals thresholds for calendar year 2027.
- Government Buyer:
  - Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS)
- OEMs and Vendors:
  - No OEMs or vendors are mentioned; this is a regulatory notice, not a procurement opportunity
- Products/Services Requested:
  - No products or services are requested
- Notable Requirements:
  - The Amount in Controversy (AIC) threshold for Administrative Law Judge (ALJ) hearings will be $200
  - The AIC threshold for judicial review will be $2,000
  - Adjustments are based on the medical care component of the consumer price index for all urban consumers from July 2003 to July 2026
  - Applies to requests filed on or after the effective date in calendar year 2027
- No procurement activity, contract vehicles, or vendor competition involved

### Description

This notice announces the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The adjustment will be effective for requests filed on or after January 1, 2027. The calendar year 2027 AIC threshold amounts are $200 for ALJ hearings and $2,000 for judicial review. The adjustment is based on the percentage increase in the medical care component of the consumer price index for all urban consumers from July 2003 to July 2026.

[View original listing](https://www.federalregister.gov/documents/2026/09/16/2026-19016/medicare-program-medicare-appeals-adjustment-to-the-amount-in-controversy-threshold-amounts-for)