Determinations and the Administrative Review Process

  1. Law
  2. CFR 20
  3. Employees' Benefits
  4. Social Security Administration
  5. Medicare Subsidies
  6. Medicare Part B Income-Related Monthly Adjustment Amount
  7. Determinations and the Administrative Review Process

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Section
418.1301

What is an initial determination regarding your income-related monthly adjustment amount?

Section
418.1305

What is not an initial determination regarding your income-related monthly adjustment amount?

Section
418.1310

When may you request that we make a new initial determination?

Section
418.1315

How will we notify you and what information will we provide about our initial determination?

Section
418.1320

What is the effect of an initial determination?

Section
418.1322

How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B?

Section
418.1325

When may you request a reconsideration?

Section
418.1330

Can you request a reconsideration when you believe that the IRS information we used is incorrect?

Section
418.1335

What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect?

Section
418.1340

What are the rules for our administrative review process?

Section
418.1345

Is reopening of an initial or reconsidered determination made by us ever appropriate?

Section
418.1350

What are the rules for review of a reconsidered determination or an administrative law judge decision?

Section
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)?