20 CFR Subpart C - Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums

  1. Introduction, General Provisions, and Definitions (§§ 418.2001 - 418.2010)
    1. § 418.2001 What is this subpart about?
    2. § 418.2005 Purpose and administration.
    3. § 418.2010 Definitions.
  2. Determinations Using a More Recent Tax Year's Modified Adjusted Gross Income (§§ 418.2201 - 418.2270)
    1. § 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?
    2. § 418.2205 What is a major life-changing event?
    3. § 418.2210 What is not a major life-changing event?
    4. § 418.2215 What is a significant reduction in your income?
    5. § 418.2220 What is not a significant reduction in your income?
    6. § 418.2225 Which more recent tax year will we use?
    7. § 418.2230 What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?
    8. § 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?
    9. § 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?
    10. § 418.2245 What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
    11. § 418.2250 What evidence will you need to support your request that we use a more recent tax year?
    12. § 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?
    13. § 418.2260 What major life-changing event evidence will we not accept?
    14. § 418.2265 What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?
    15. § 418.2270 What modified adjusted gross income evidence will we not accept?
  3. Determinations and the Administrative Review Process (§§ 418.2301 - 418.2355)
    1. § 418.2301 What is an initial determination regarding your income-related monthly adjustment amount?
    2. § 418.2305 What is not an initial determination regarding your income-related monthly adjustment amount?
    3. § 418.2310 When may you request that we make a new initial determination?
    4. § 418.2315 How will we notify you and what information will we provide about our initial determination?
    5. § 418.2320 What is the effect of an initial determination?
    6. § 418.2322 How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?
    7. § 418.2325 When may you request a reconsideration?
    8. § 418.2330 Can you request a reconsideration when you believe that the IRS information we used is incorrect?
    9. § 418.2332 Can you request a reconsideration when you believe that the CMS information we used is incorrect?
    10. § 418.2335 What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?
    11. § 418.2340 What are the rules for our administrative review process?
    12. § 418.2345 Is reopening of an initial or reconsidered determination made by us ever appropriate?
    13. § 418.2350 What are the rules for review of a reconsidered determination or an ALJ decision?
    14. § 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)?
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.