Title 20

PART 418 SUBPART B

Subpart B - Medicare Part B Income-Related Monthly Adjustment Amount Authority:Secs. 702(a)(5) and 1839(i) of the Social Security Act (42 U.S.C. 902(a)(5) and 1395r(i)). Source:71 FR 62931, Oct. 27, 2006, unless otherwise noted.

20:2.0.1.1.10.2.470SUBJGRP 470
Introduction, General Provisions, and Definitions
20:2.0.1.1.10.2.470.1SECTION 418.1001
   418.1001 What is this subpart about
20:2.0.1.1.10.2.470.2SECTION 418.1005
   418.1005 Purpose and administration.
20:2.0.1.1.10.2.470.3SECTION 418.1010
   418.1010 Definitions.
20:2.0.1.1.10.2.471SUBJGRP 471
Determination of the Income-Related Monthly Adjustment Amount
20:2.0.1.1.10.2.471.4SECTION 418.1101
   418.1101 What is the income-related monthly adjustment amount
20:2.0.1.1.10.2.471.5SECTION 418.1105
   418.1105 What is the threshold
20:2.0.1.1.10.2.471.6SECTION 418.1110
   418.1110 What is the effective date of our initial determination about your income-related monthly adjustment amount
20:2.0.1.1.10.2.471.7SECTION 418.1115
   418.1115 What are the modified adjusted gross income ranges
20:2.0.1.1.10.2.471.8SECTION 418.1120
   418.1120 How do we determine your income-related monthly adjustment amount
20:2.0.1.1.10.2.471.9SECTION 418.1125
   418.1125 How will the income-related monthly adjustment amount affect your total Medicare Part B premium
20:2.0.1.1.10.2.471.10SECTION 418.1130
   418.1130 [Reserved]
20:2.0.1.1.10.2.471.11SECTION 418.1135
   418.1135 What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount
20:2.0.1.1.10.2.471.12SECTION 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
20:2.0.1.1.10.2.471.13SECTION 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
20:2.0.1.1.10.2.471.14SECTION 418.1150
   418.1150 When will we use your amended tax return filed with IRS
20:2.0.1.1.10.2.472SUBJGRP 472
Determinations Using a More Recent Tax Year's Modified Adjusted Gross Income
20:2.0.1.1.10.2.472.15SECTION 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
20:2.0.1.1.10.2.472.16SECTION 418.1205
   418.1205 What is a major life-changing event
20:2.0.1.1.10.2.472.17SECTION 418.1210
   418.1210 What is not a major life-changing event
20:2.0.1.1.10.2.472.18SECTION 418.1215
   418.1215 What is a significant reduction in your income
20:2.0.1.1.10.2.472.19SECTION 418.1220
   418.1220 What is not a significant reduction in your income
20:2.0.1.1.10.2.472.20SECTION 418.1225
   418.1225 Which more recent tax year will we use
20:2.0.1.1.10.2.472.21SECTION 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
20:2.0.1.1.10.2.472.22SECTION 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
20:2.0.1.1.10.2.472.23SECTION 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
20:2.0.1.1.10.2.472.24SECTION 418.1245
   418.1245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes
20:2.0.1.1.10.2.472.25SECTION 418.1250
   418.1250 What evidence will you need to support your request that we use a more recent tax year
20:2.0.1.1.10.2.472.26SECTION 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
20:2.0.1.1.10.2.472.27SECTION 418.1260
   418.1260 What major life-changing event evidence will we not accept
20:2.0.1.1.10.2.472.28SECTION 418.1265
   418.1265 What kind of significant modified adjusted gross income reduction evidence will you need to support your request
20:2.0.1.1.10.2.472.29SECTION 418.1270
   418.1270 What modified adjusted gross income evidence will we not accept
20:2.0.1.1.10.2.473SUBJGRP 473
Determinations and the Administrative Review Process
20:2.0.1.1.10.2.473.30SECTION 418.1301
   418.1301 What is an initial determination regarding your income-related monthly adjustment amount
20:2.0.1.1.10.2.473.31SECTION 418.1305
   418.1305 What is not an initial determination regarding your income-related monthly adjustment amount
20:2.0.1.1.10.2.473.32SECTION 418.1310
   418.1310 When may you request that we make a new initial determination
20:2.0.1.1.10.2.473.33SECTION 418.1315
   418.1315 How will we notify you and what information will we provide about our initial determination
20:2.0.1.1.10.2.473.34SECTION 418.1320
   418.1320 What is the effect of an initial determination
20:2.0.1.1.10.2.473.35SECTION 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
20:2.0.1.1.10.2.473.36SECTION 418.1325
   418.1325 When may you request a reconsideration
20:2.0.1.1.10.2.473.37SECTION 418.1330
   418.1330 Can you request a reconsideration when you believe that the IRS information we used is incorrect
20:2.0.1.1.10.2.473.38SECTION 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
20:2.0.1.1.10.2.473.39SECTION 418.1340
   418.1340 What are the rules for our administrative review process
20:2.0.1.1.10.2.473.40SECTION 418.1345
   418.1345 Is reopening of an initial or reconsidered determination made by us ever appropriate
20:2.0.1.1.10.2.473.41SECTION 418.1350
   418.1350 What are the rules for review of a reconsidered determination or an administrative law judge decision
20:2.0.1.1.10.2.473.42SECTION 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)