Title 20

PART 418 SUBPART D

Subpart D - Medicare Part D Subsidies Authority:Secs. 702(a)(5) and 1860D-1, 1860D-14 and -15 of the Social Security Act (42 U.S.C. 902(a)(5),1395w-101, 1395w-114, and -115).

20:2.0.1.1.10.4.478SUBJGRP 478
Introduction, General Provisions, and Definitions
20:2.0.1.1.10.4.478.1SECTION 418.3001
   418.3001 What is this subpart about
20:2.0.1.1.10.4.478.2SECTION 418.3005
   418.3005 Purpose and administration of the program.
20:2.0.1.1.10.4.478.3SECTION 418.3010
   418.3010 Definitions.
20:2.0.1.1.10.4.479SUBJGRP 479
Eligibility for a Medicare Prescription Drug Subsidy
20:2.0.1.1.10.4.479.4SECTION 418.3101
   418.3101 How do you become eligible for a subsidy
20:2.0.1.1.10.4.479.5SECTION 418.3105
   418.3105 Who does not need to file an application for a subsidy
20:2.0.1.1.10.4.479.6SECTION 418.3110
   418.3110 What happens when you apply for a subsidy
20:2.0.1.1.10.4.479.7SECTION 418.3115
   418.3115 What events will make you ineligible for a subsidy
20:2.0.1.1.10.4.479.8SECTION 418.3120
   418.3120 What happens if your circumstances change after we determine you are eligible for a subsidy
20:2.0.1.1.10.4.479.9SECTION 418.3123
   418.3123 When is a change in your subsidy effective
20:2.0.1.1.10.4.479.10SECTION 418.3125
   418.3125 What are redeterminations
20:2.0.1.1.10.4.480SUBJGRP 480
Filing of Application
20:2.0.1.1.10.4.480.11SECTION 418.3201
   418.3201 Must you file an application to become eligible for a subsidy
20:2.0.1.1.10.4.480.12SECTION 418.3205
   418.3205 What makes an application a claim for a subsidy
20:2.0.1.1.10.4.480.13SECTION 418.3210
   418.3210 What is a prescribed application for a subsidy
20:2.0.1.1.10.4.480.14SECTION 418.3215
   418.3215 Who may file your application for a subsidy
20:2.0.1.1.10.4.480.15SECTION 418.3220
   418.3220 When is your application considered filed
20:2.0.1.1.10.4.480.16SECTION 418.3225
   418.3225 How long will your application remain in effect
20:2.0.1.1.10.4.480.17SECTION 418.3230
   418.3230 When will we use your subsidy inquiry as your filing date
20:2.0.1.1.10.4.481SUBJGRP 481
Income
20:2.0.1.1.10.4.481.18SECTION 418.3301
   418.3301 What is income
20:2.0.1.1.10.4.481.19SECTION 418.3305
   418.3305 What is not income
20:2.0.1.1.10.4.481.20SECTION 418.3310
   418.3310 Whose income do we count
20:2.0.1.1.10.4.481.21SECTION 418.3315
   418.3315 What is earned income
20:2.0.1.1.10.4.481.22SECTION 418.3320
   418.3320 How do we count your earned income
20:2.0.1.1.10.4.481.23SECTION 418.3325
   418.3325 What earned income do we not count
20:2.0.1.1.10.4.481.24SECTION 418.3330
   418.3330 What is unearned income
20:2.0.1.1.10.4.481.25SECTION 418.3335
   418.3335 What types of unearned income do we count
20:2.0.1.1.10.4.481.26SECTION 418.3340
   418.3340 How do we count your unearned income
20:2.0.1.1.10.4.481.27SECTION 418.3350
   418.3350 What types of unearned income do we not count
20:2.0.1.1.10.4.482SUBJGRP 482
Resources
20:2.0.1.1.10.4.482.28SECTION 418.3401
   418.3401 What are resources
20:2.0.1.1.10.4.482.29SECTION 418.3405
   418.3405 What types of resources do we count
20:2.0.1.1.10.4.482.30SECTION 418.3410
   418.3410 Whose resources do we count
20:2.0.1.1.10.4.482.31SECTION 418.3415
   418.3415 How do we determine countable resources
20:2.0.1.1.10.4.482.32SECTION 418.3420
   418.3420 How are funds held in financial institution accounts counted
20:2.0.1.1.10.4.482.33SECTION 418.3425
   418.3425 What resources do we exclude from counting
20:2.0.1.1.10.4.483SUBJGRP 483
Adjustments and Terminations
20:2.0.1.1.10.4.483.34SECTION 418.3501
   418.3501 What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility
20:2.0.1.1.10.4.483.35SECTION 418.3505
   418.3505 How would an increase, reduction or termination affect you
20:2.0.1.1.10.4.483.36SECTION 418.3510
   418.3510 When would an increase, reduction or termination start
20:2.0.1.1.10.4.483.37SECTION 418.3515
   418.3515 How could you qualify for a subsidy again
20:2.0.1.1.10.4.484SUBJGRP 484
Determinations and the Administrative Review Process
20:2.0.1.1.10.4.484.38SECTION 418.3601
   418.3601 When do you have the right to administrative review
20:2.0.1.1.10.4.484.39SECTION 418.3605
   418.3605 What is an initial determination
20:2.0.1.1.10.4.484.40SECTION 418.3610
   418.3610 Is there administrative or judicial review for administrative actions that are not initial determinations
20:2.0.1.1.10.4.484.41SECTION 418.3615
   418.3615 Will we mail you a notice of the initial determination
20:2.0.1.1.10.4.484.42SECTION 418.3620
   418.3620 What is the effect of an initial determination
20:2.0.1.1.10.4.484.43SECTION 418.3625
   418.3625 What is the process for administrative review
20:2.0.1.1.10.4.484.44SECTION 418.3630
   418.3630 How do you request administrative review
20:2.0.1.1.10.4.484.45SECTION 418.3635
   418.3635 Can anyone request administrative review on your behalf
20:2.0.1.1.10.4.484.46SECTION 418.3640
   418.3640 How do we determine if you had good cause for missing the deadline to request administrative review
20:2.0.1.1.10.4.484.47SECTION 418.3645
   418.3645 Can you request that the decision-maker be disqualified
20:2.0.1.1.10.4.484.48SECTION 418.3650
   418.3650 How do we make our decision upon review
20:2.0.1.1.10.4.484.49SECTION 418.3655
   418.3655 How will we notify you of our decision after our review
20:2.0.1.1.10.4.484.50SECTION 418.3665
   418.3665 Can your request for a hearing or case review be dismissed
20:2.0.1.1.10.4.484.51SECTION 418.3670
   418.3670 How will you be notified of the dismissal
20:2.0.1.1.10.4.484.52SECTION 418.3675
   418.3675 How does our decision affect you
20:2.0.1.1.10.4.484.53SECTION 418.3678
   418.3678 What is the process for correcting Agency clerical errors
20:2.0.1.1.10.4.484.54SECTION 418.3680
   418.3680 What happens if your case is remanded by a Federal court