Office of Medicare Hearings & Appeals

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U.S. Department of Health and Human Services

Office of Medicare Hearings and Appeals


Location: 200 Public Square, Suite 1300, Cleveland, Ohio 44114

Credits: 4 or 6 Credit Hours for Fall or Spring Term

Prerequisites: RCC; minimum GPA 2.50; completion of at least 29 credit hours; and approval of site supervisor.

Extern placement is in the Midwestern Field Office (MFO) of the Office of Medicare Hearings and Appeals (OMHA) located in downtown Cleveland. OMHA, under direct delegation from the Secretary of the Department of Health and  Human Services, administers nationwide hearings for the Federal Medicare Program.

OMHA serves as the appellate branch through which individuals and organizations dissatisfied with Medicare health care provider determinations may obtain an impartial hearing before an Administrative Law Judge (ALJ). The Midwestern Field Office is one of four hearing offices in the nation, with jurisdiction over 17 states in the Midwest and New England, and also administers appeals to U.S. citizens living abroad.

The MFO is organized into teams consisting of an Administrative Law Judge, an attorney advisor, a paralegal and a legal assistant. A pool of attorneys and paralegals support the teams. Externs will have the opportunity to work with the teams and with the pool conducting legal research, preparing substantive reviews, attending hearings and drafting decisions.

Students may register for 4 credits (16 hours per week) or 6 credits (24 hours per week) in the fall or spring terms; in the summer term, students may register for 3 credits (24 hours per week) or 5 credits (40 hours per week). Students in this externship also participate in an Externship Seminar conducted at the law school by the externship faculty supervisor. Graded Pass/Fail.

Interested students must contact Office of Career Planning, LB 137 in the Student Services Center, 216-687-6871,  An Externship application, signed by Career Planning and student, a resume, unofficial transcript, and writing sample must be submitted for consideration through Symplcity. The supervising staff at the MFO of the OMHA will make the final selection of students. Selected externs are required to complete a Student Volunteer Service Agreement and a Standard Form 85 (Questionnaire for Non-Sensitive Positions).