20:2.0.1.1.10.1 | SUBPART A
| **Subpart A [Reserved]** | |

20:2.0.1.1.10.2 | SUBPART B
| **Subpart B - Medicare Part B Income-Related Monthly Adjustment Amount** | |

20:2.0.1.1.10.2.470 | SUBJGRP 470
| **Introduction, General Provisions, and Definitions** | |

20:2.0.1.1.10.2.470.1 | SECTION 418.1001
| 418.1001 What is this subpart about | |

20:2.0.1.1.10.2.470.2 | SECTION 418.1005
| 418.1005 Purpose and administration. | |

20:2.0.1.1.10.2.470.3 | SECTION 418.1010
| 418.1010 Definitions. | |

20:2.0.1.1.10.2.471 | SUBJGRP 471
| **Determination of the Income-Related Monthly Adjustment Amount** | |

20:2.0.1.1.10.2.471.4 | SECTION 418.1101
| 418.1101 What is the income-related monthly adjustment amount | |

20:2.0.1.1.10.2.471.5 | SECTION 418.1105
| 418.1105 What is the threshold | |

20:2.0.1.1.10.2.471.6 | SECTION 418.1110
| 418.1110 What is the effective date of our initial determination about your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.471.7 | SECTION 418.1115
| 418.1115 What are the modified adjusted gross income ranges | |

20:2.0.1.1.10.2.471.8 | SECTION 418.1120
| 418.1120 How do we determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.471.9 | SECTION 418.1125
| 418.1125 How will the income-related monthly adjustment amount affect your total Medicare Part B premium | |

20:2.0.1.1.10.2.471.10 | SECTION 418.1130
| 418.1130 [Reserved] | |

20:2.0.1.1.10.2.471.11 | SECTION 418.1135
| 418.1135 What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.471.12 | SECTION 418.1140
| 418.1140 What will happen if the modified adjusted gross income information from IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.471.13 | SECTION 418.1145
| 418.1145 How do we determine your income-related monthly adjustment amount if IRS does not provide information about your modified adjusted gross income | |

20:2.0.1.1.10.2.471.14 | SECTION 418.1150
| 418.1150 When will we use your amended tax return filed with IRS | |

20:2.0.1.1.10.2.472 | SUBJGRP 472
| **Determinations Using a More Recent Tax Year's Modified Adjusted Gross Income** | |

20:2.0.1.1.10.2.472.15 | SECTION 418.1201
| 418.1201 When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year | |

20:2.0.1.1.10.2.472.16 | SECTION 418.1205
| 418.1205 What is a major life-changing event | |

20:2.0.1.1.10.2.472.17 | SECTION 418.1210
| 418.1210 What is not a major life-changing event | |

20:2.0.1.1.10.2.472.18 | SECTION 418.1215
| 418.1215 What is a significant reduction in your income | |

20:2.0.1.1.10.2.472.19 | SECTION 418.1220
| 418.1220 What is not a significant reduction in your income | |

20:2.0.1.1.10.2.472.20 | SECTION 418.1225
| 418.1225 Which more recent tax year will we use | |

20:2.0.1.1.10.2.472.21 | SECTION 418.1230
| 418.1230 What is the effective date of an income-related monthly adjustment amount initial determination that is based on a more recent tax year | |

20:2.0.1.1.10.2.472.22 | SECTION 418.1235
| 418.1235 When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.472.23 | SECTION 418.1240
| 418.1240 Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes | |

20:2.0.1.1.10.2.472.24 | SECTION 418.1245
| 418.1245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes | |

20:2.0.1.1.10.2.472.25 | SECTION 418.1250
| 418.1250 What evidence will you need to support your request that we use a more recent tax year | |

20:2.0.1.1.10.2.472.26 | SECTION 418.1255
| 418.1255 What kind of major life-changing event evidence will you need to support your request for us to use a more recent tax year | |

20:2.0.1.1.10.2.472.27 | SECTION 418.1260
| 418.1260 What major life-changing event evidence will we not accept | |

20:2.0.1.1.10.2.472.28 | SECTION 418.1265
| 418.1265 What kind of significant modified adjusted gross income reduction evidence will you need to support your request | |

20:2.0.1.1.10.2.472.29 | SECTION 418.1270
| 418.1270 What modified adjusted gross income evidence will we not accept | |

20:2.0.1.1.10.2.473 | SUBJGRP 473
| **Determinations and the Administrative Review Process** | |

20:2.0.1.1.10.2.473.30 | SECTION 418.1301
| 418.1301 What is an initial determination regarding your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.473.31 | SECTION 418.1305
| 418.1305 What is not an initial determination regarding your income-related monthly adjustment amount | |

20:2.0.1.1.10.2.473.32 | SECTION 418.1310
| 418.1310 When may you request that we make a new initial determination | |

20:2.0.1.1.10.2.473.33 | SECTION 418.1315
| 418.1315 How will we notify you and what information will we provide about our initial determination | |

20:2.0.1.1.10.2.473.34 | SECTION 418.1320
| 418.1320 What is the effect of an initial determination | |

20:2.0.1.1.10.2.473.35 | SECTION 418.1322
| 418.1322 How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B | |

20:2.0.1.1.10.2.473.36 | SECTION 418.1325
| 418.1325 When may you request a reconsideration | |

20:2.0.1.1.10.2.473.37 | SECTION 418.1330
| 418.1330 Can you request a reconsideration when you believe that the IRS information we used is incorrect | |

20:2.0.1.1.10.2.473.38 | SECTION 418.1335
| 418.1335 What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect | |

20:2.0.1.1.10.2.473.39 | SECTION 418.1340
| 418.1340 What are the rules for our administrative review process | |

20:2.0.1.1.10.2.473.40 | SECTION 418.1345
| 418.1345 Is reopening of an initial or reconsidered determination made by us ever appropriate | |

20:2.0.1.1.10.2.473.41 | SECTION 418.1350
| 418.1350 What are the rules for review of a reconsidered determination or an administrative law judge decision | |

20:2.0.1.1.10.2.473.42 | SECTION 418.1355
| 418.1355 What are the rules for reopening a decision by an administrative law judge of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC) | |

20:2.0.1.1.10.3 | SUBPART C
| **Subpart C - Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums** | |

20:2.0.1.1.10.3.474 | SUBJGRP 474
| **Introduction, General Provisions, and Definitions** | |

20:2.0.1.1.10.3.474.1 | SECTION 418.2001
| 418.2001 What is this subpart about | |

20:2.0.1.1.10.3.474.2 | SECTION 418.2005
| 418.2005 Purpose and administration. | |

20:2.0.1.1.10.3.474.3 | SECTION 418.2010
| 418.2010 Definitions. | |

20:2.0.1.1.10.3.475 | SUBJGRP 475
| **Determination of the Income-Related Monthly Adjustment Amount** | |

20:2.0.1.1.10.3.475.4 | SECTION 418.2101
| 418.2101 What is the income-related monthly adjustment amount | |

20:2.0.1.1.10.3.475.5 | SECTION 418.2105
| 418.2105 What is the threshold | |

20:2.0.1.1.10.3.475.6 | SECTION 418.2110
| 418.2110 What is the effective date of our initial determination about your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.475.7 | SECTION 418.2112
| 418.2112 Paying your income-related monthly adjustment amount. | |

20:2.0.1.1.10.3.475.8 | SECTION 418.2115
| 418.2115 What are the modified adjusted gross income ranges | |

20:2.0.1.1.10.3.475.9 | SECTION 418.2120
| 418.2120 How do we determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.475.10 | SECTION 418.2125
| 418.2125 How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium | |

20:2.0.1.1.10.3.475.11 | SECTION 418.2135
| 418.2135 What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.475.12 | SECTION 418.2140
| 418.2140 What will happen if the modified adjusted gross income information from the IRS is different from the modified adjusted gross income information we used to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.475.13 | SECTION 418.2145
| 418.2145 How do we determine your income-related monthly adjustment amount if the IRS does not provide information about your modified adjusted gross income | |

20:2.0.1.1.10.3.475.14 | SECTION 418.2150
| 418.2150 When will we use your amended tax return filed with the IRS | |

20:2.0.1.1.10.3.476 | SUBJGRP 476
| **Determinations Using a More Recent Tax Year's Modified Adjusted Gross Income** | |

20:2.0.1.1.10.3.476.15 | SECTION 418.2201
| 418.2201 When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income information that you provide for a more recent tax year | |

20:2.0.1.1.10.3.476.16 | SECTION 418.2205
| 418.2205 What is a major life-changing event | |

20:2.0.1.1.10.3.476.17 | SECTION 418.2210
| 418.2210 What is not a major life-changing event | |

20:2.0.1.1.10.3.476.18 | SECTION 418.2215
| 418.2215 What is a significant reduction in your income | |

20:2.0.1.1.10.3.476.19 | SECTION 418.2220
| 418.2220 What is not a significant reduction in your income | |

20:2.0.1.1.10.3.476.20 | SECTION 418.2225
| 418.2225 Which more recent tax year will we use | |

20:2.0.1.1.10.3.476.21 | SECTION 418.2230
| 418.2230 What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year | |

20:2.0.1.1.10.3.476.22 | SECTION 418.2235
| 418.2235 When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.476.23 | SECTION 418.2240
| 418.2240 Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes | |

20:2.0.1.1.10.3.476.24 | SECTION 418.2245
| 418.2245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes | |

20:2.0.1.1.10.3.476.25 | SECTION 418.2250
| 418.2250 What evidence will you need to support your request that we use a more recent tax year | |

20:2.0.1.1.10.3.476.26 | SECTION 418.2255
| 418.2255 What kind of evidence of a major life-changing event will you need to support your request for us to use a more recent tax year | |

20:2.0.1.1.10.3.476.27 | SECTION 418.2260
| 418.2260 What major life-changing event evidence will we not accept | |

20:2.0.1.1.10.3.476.28 | SECTION 418.2265
| 418.2265 What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request | |

20:2.0.1.1.10.3.476.29 | SECTION 418.2270
| 418.2270 What modified adjusted gross income evidence will we not accept | |

20:2.0.1.1.10.3.477 | SUBJGRP 477
| **Determinations and the Administrative Review Process** | |

20:2.0.1.1.10.3.477.30 | SECTION 418.2301
| 418.2301 What is an initial determination regarding your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.477.31 | SECTION 418.2305
| 418.2305 What is not an initial determination regarding your income-related monthly adjustment amount | |

20:2.0.1.1.10.3.477.32 | SECTION 418.2310
| 418.2310 When may you request that we make a new initial determination | |

20:2.0.1.1.10.3.477.33 | SECTION 418.2315
| 418.2315 How will we notify you and what information will we provide about our initial determination | |

20:2.0.1.1.10.3.477.34 | SECTION 418.2320
| 418.2320 What is the effect of an initial determination | |

20:2.0.1.1.10.3.477.35 | SECTION 418.2322
| 418.2322 How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage | |

20:2.0.1.1.10.3.477.36 | SECTION 418.2325
| 418.2325 When may you request a reconsideration | |

20:2.0.1.1.10.3.477.37 | SECTION 418.2330
| 418.2330 Can you request a reconsideration when you believe that the IRS information we used is incorrect | |

20:2.0.1.1.10.3.477.38 | SECTION 418.2332
| 418.2332 Can you request a reconsideration when you believe that the CMS information we used is incorrect | |

20:2.0.1.1.10.3.477.39 | SECTION 418.2335
| 418.2335 What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect | |

20:2.0.1.1.10.3.477.40 | SECTION 418.2340
| 418.2340 What are the rules for our administrative review process | |

20:2.0.1.1.10.3.477.41 | SECTION 418.2345
| 418.2345 Is reopening of an initial or reconsidered determination made by us ever appropriate | |

20:2.0.1.1.10.3.477.42 | SECTION 418.2350
| 418.2350 What are the rules for review of a reconsidered determination or an ALJ decision | |

20:2.0.1.1.10.3.477.43 | SECTION 418.2355
| 418.2355 What are the rules for reopening a decision by an ALJ of the Office of Medicare Hearings and Appeals (OMHA) or by the Medicare Appeals Council (MAC) | |

20:2.0.1.1.10.4 | SUBPART D
| **Subpart D - Medicare Part D Subsidies** | |

20:2.0.1.1.10.4.478 | SUBJGRP 478
| **Introduction, General Provisions, and Definitions** | |

20:2.0.1.1.10.4.478.1 | SECTION 418.3001
| 418.3001 What is this subpart about | |

20:2.0.1.1.10.4.478.2 | SECTION 418.3005
| 418.3005 Purpose and administration of the program. | |

20:2.0.1.1.10.4.478.3 | SECTION 418.3010
| 418.3010 Definitions. | |

20:2.0.1.1.10.4.479 | SUBJGRP 479
| **Eligibility for a Medicare Prescription Drug Subsidy** | |

20:2.0.1.1.10.4.479.4 | SECTION 418.3101
| 418.3101 How do you become eligible for a subsidy | |

20:2.0.1.1.10.4.479.5 | SECTION 418.3105
| 418.3105 Who does not need to file an application for a subsidy | |

20:2.0.1.1.10.4.479.6 | SECTION 418.3110
| 418.3110 What happens when you apply for a subsidy | |

20:2.0.1.1.10.4.479.7 | SECTION 418.3115
| 418.3115 What events will make you ineligible for a subsidy | |

20:2.0.1.1.10.4.479.8 | SECTION 418.3120
| 418.3120 What happens if your circumstances change after we determine you are eligible for a subsidy | |

20:2.0.1.1.10.4.479.9 | SECTION 418.3123
| 418.3123 When is a change in your subsidy effective | |

20:2.0.1.1.10.4.479.10 | SECTION 418.3125
| 418.3125 What are redeterminations | |

20:2.0.1.1.10.4.480 | SUBJGRP 480
| **Filing of Application** | |

20:2.0.1.1.10.4.480.11 | SECTION 418.3201
| 418.3201 Must you file an application to become eligible for a subsidy | |

20:2.0.1.1.10.4.480.12 | SECTION 418.3205
| 418.3205 What makes an application a claim for a subsidy | |

20:2.0.1.1.10.4.480.13 | SECTION 418.3210
| 418.3210 What is a prescribed application for a subsidy | |

20:2.0.1.1.10.4.480.14 | SECTION 418.3215
| 418.3215 Who may file your application for a subsidy | |

20:2.0.1.1.10.4.480.15 | SECTION 418.3220
| 418.3220 When is your application considered filed | |

20:2.0.1.1.10.4.480.16 | SECTION 418.3225
| 418.3225 How long will your application remain in effect | |

20:2.0.1.1.10.4.480.17 | SECTION 418.3230
| 418.3230 When will we use your subsidy inquiry as your filing date | |

20:2.0.1.1.10.4.481 | SUBJGRP 481
| **Income** | |

20:2.0.1.1.10.4.481.18 | SECTION 418.3301
| 418.3301 What is income | |

20:2.0.1.1.10.4.481.19 | SECTION 418.3305
| 418.3305 What is not income | |

20:2.0.1.1.10.4.481.20 | SECTION 418.3310
| 418.3310 Whose income do we count | |

20:2.0.1.1.10.4.481.21 | SECTION 418.3315
| 418.3315 What is earned income | |

20:2.0.1.1.10.4.481.22 | SECTION 418.3320
| 418.3320 How do we count your earned income | |

20:2.0.1.1.10.4.481.23 | SECTION 418.3325
| 418.3325 What earned income do we not count | |

20:2.0.1.1.10.4.481.24 | SECTION 418.3330
| 418.3330 What is unearned income | |

20:2.0.1.1.10.4.481.25 | SECTION 418.3335
| 418.3335 What types of unearned income do we count | |

20:2.0.1.1.10.4.481.26 | SECTION 418.3340
| 418.3340 How do we count your unearned income | |

20:2.0.1.1.10.4.481.27 | SECTION 418.3350
| 418.3350 What types of unearned income do we not count | |

20:2.0.1.1.10.4.482 | SUBJGRP 482
| **Resources** | |

20:2.0.1.1.10.4.482.28 | SECTION 418.3401
| 418.3401 What are resources | |

20:2.0.1.1.10.4.482.29 | SECTION 418.3405
| 418.3405 What types of resources do we count | |

20:2.0.1.1.10.4.482.30 | SECTION 418.3410
| 418.3410 Whose resources do we count | |

20:2.0.1.1.10.4.482.31 | SECTION 418.3415
| 418.3415 How do we determine countable resources | |

20:2.0.1.1.10.4.482.32 | SECTION 418.3420
| 418.3420 How are funds held in financial institution accounts counted | |

20:2.0.1.1.10.4.482.33 | SECTION 418.3425
| 418.3425 What resources do we exclude from counting | |

20:2.0.1.1.10.4.483 | SUBJGRP 483
| **Adjustments and Terminations** | |

20:2.0.1.1.10.4.483.34 | SECTION 418.3501
| 418.3501 What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility | |

20:2.0.1.1.10.4.483.35 | SECTION 418.3505
| 418.3505 How would an increase, reduction or termination affect you | |

20:2.0.1.1.10.4.483.36 | SECTION 418.3510
| 418.3510 When would an increase, reduction or termination start | |

20:2.0.1.1.10.4.483.37 | SECTION 418.3515
| 418.3515 How could you qualify for a subsidy again | |

20:2.0.1.1.10.4.484 | SUBJGRP 484
| **Determinations and the Administrative Review Process** | |

20:2.0.1.1.10.4.484.38 | SECTION 418.3601
| 418.3601 When do you have the right to administrative review | |

20:2.0.1.1.10.4.484.39 | SECTION 418.3605
| 418.3605 What is an initial determination | |

20:2.0.1.1.10.4.484.40 | SECTION 418.3610
| 418.3610 Is there administrative or judicial review for administrative actions that are not initial determinations | |

20:2.0.1.1.10.4.484.41 | SECTION 418.3615
| 418.3615 Will we mail you a notice of the initial determination | |

20:2.0.1.1.10.4.484.42 | SECTION 418.3620
| 418.3620 What is the effect of an initial determination | |

20:2.0.1.1.10.4.484.43 | SECTION 418.3625
| 418.3625 What is the process for administrative review | |

20:2.0.1.1.10.4.484.44 | SECTION 418.3630
| 418.3630 How do you request administrative review | |

20:2.0.1.1.10.4.484.45 | SECTION 418.3635
| 418.3635 Can anyone request administrative review on your behalf | |

20:2.0.1.1.10.4.484.46 | SECTION 418.3640
| 418.3640 How do we determine if you had good cause for missing the deadline to request administrative review | |

20:2.0.1.1.10.4.484.47 | SECTION 418.3645
| 418.3645 Can you request that the decision-maker be disqualified | |

20:2.0.1.1.10.4.484.48 | SECTION 418.3650
| 418.3650 How do we make our decision upon review | |

20:2.0.1.1.10.4.484.49 | SECTION 418.3655
| 418.3655 How will we notify you of our decision after our review | |

20:2.0.1.1.10.4.484.50 | SECTION 418.3665
| 418.3665 Can your request for a hearing or case review be dismissed | |

20:2.0.1.1.10.4.484.51 | SECTION 418.3670
| 418.3670 How will you be notified of the dismissal | |

20:2.0.1.1.10.4.484.52 | SECTION 418.3675
| 418.3675 How does our decision affect you | |

20:2.0.1.1.10.4.484.53 | SECTION 418.3678
| 418.3678 What is the process for correcting Agency clerical errors | |

20:2.0.1.1.10.4.484.54 | SECTION 418.3680
| 418.3680 What happens if your case is remanded by a Federal court | |