Title 20

PART 418 SUBPART C

Subpart C - Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums Authority:Secs. 702(a)(5), 1860D-13(a) and (c) of the Social Security Act (42 U.S.C. 902(a)(5), 1395w-113(a) and (c)). Source:75 FR 75891, Dec. 7, 2010, unless otherwise noted.

Authority:
Source: 70 FR 77675, Dec. 30, 2005, unless otherwise noted.

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)