PocketLaw | CFR 20 | Determinations and the Administrative Review

Determinations and the Administrative Review Process

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Section
418.2301

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

Section
418.2305

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

Section
418.2310

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

Section
418.2315

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

Section
418.2320

What is the effect of an initial determination?

Section
418.2322

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

Section
418.2325

When may you request a reconsideration?

Section
418.2330

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

Section
418.2332

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

Section
418.2335

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

Section
418.2340

What are the rules for our administrative review process?

Section
418.2345

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

Section
418.2350

What are the rules for review of a reconsidered determination or an ALJ decision?

Section
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)?