The Civil Remedies Division

The Civil Remedies Division (CRD) provides staff support for the ALJ's assigned to the DAB. The ALJ's are qualified under the Federal Administrative Procedure Act to conduct hearings on the record. Generally, the ALJ decision is an initial decision that may be appealed to the Board. If the ALJ decision is not appealed, it is the final administrative decision.

These CRD cases include:

• fraud and abuse determinations by the Office of the Inspector General (OIG) or the Centers for Medicare & Medicaid Services (CMS);
• provider/supplier enforcement and certification determinations by CMS;
• terminations of or refusal to grant or continue federal funding for alleged civil rights violations;
• Program Fraud Civil Remedies Act determinations;
• civil money penalty determinations by SSA;
• equal Access to Justice Act determinations relating to OIG proceedings.

CRD ALJ's also provide hearings and issue initial agency decisions regarding civil money penalties proposed by CMS under the Health Insurance Portability and Accountability Act of 1996. These ALJ decisions may be reviewed by the CMS Administrator or his or her delegate. In addition, CRD ALJ's provide hearings in certain debt collection cases brought by SSA, involving nonbargaining unit employees and debts, requiring an independent hearing officer.

Civil Remedies Division Overview
CMS Case Procedures
IG Case Procedures

HHS Home | Questions? | Contact HHS | Site Map | Accessibility | Privacy Policy | Freedom of Information Act | Disclaimers

The White House | FirstGov

U.S. Department of Health & Human Services · 200 Independence Avenue, S.W. · Washington, D.C. 20201