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CHAPTER III—SOCIAL SECURITY ADMINISTRATION
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PART 418—MEDICARE SUBSIDIES
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SUBPART C—Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums (§418.2001 to §418.2355)
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SUBPART C—Income-Related Monthly Adjustments to Medicare Prescription Drug Coverage Premiums (§418.2001 to §418.2355)
418.2001—What is this subpart about?
418.2005—Purpose and administration.
418.2010—Definitions.
418.2101—What is the income-related monthly adjustment amount?
418.2105—What is the threshold?
418.2110—What is the effective date of our initial determination about your income-related monthly adjustment amount?
418.2112—Paying your income-related monthly adjustment amount.
418.2115—What are the modified adjusted gross income ranges?
418.2120—How do we determine your income-related monthly adjustment amount?
418.2125—How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium?
418.2135—What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
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-relate
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?
418.2150—When will we use your amended tax return filed with the IRS?
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?
418.2205—What is a major life-changing event?
418.2210—What is not a major life-changing event?
418.2215—What is a significant reduction in your income?
418.2220—What is not a significant reduction in your income?
418.2225—Which more recent tax year will we use?
418.2230—What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?
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?
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?
418.2245—What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
418.2250—What evidence will you need to support your request that we use a more recent tax year?
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?
418.2260—What major life-changing event evidence will we not accept?
418.2265—What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?
418.2270—What modified adjusted gross income evidence will we not accept?
418.2301—What is an initial determination regarding your income-related monthly adjustment amount?
418.2305—What is not an initial determination regarding your income-related monthly adjustment amount?
418.2310—When may you request that we make a new initial determination?
418.2315—How will we notify you and what information will we provide about our initial determination?
418.2320—What is the effect of an initial determination?
418.2322—How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?
418.2325—When may you request a reconsideration?
418.2330—Can you request a reconsideration when you believe that the IRS information we used is incorrect?
418.2332—Can you request a reconsideration when you believe that the CMS information we used is incorrect?
418.2335—What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?
418.2340—What are the rules for our administrative review process?
418.2345—Is reopening of an initial or reconsidered determination made by us ever appropriate?
418.2350—What are the rules for review of a reconsidered determination or an ALJ decision?
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)?
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