CFR /  Title 20  /  Part 418: Medicare Subsidies

Section No.	Description
Section 418.1001	Purpose and administration
Section 418.1005	Definitions
Section 418.1010	What is the income-related monthly adjustment amount?
Section 418.1101	What is the threshold?
Section 418.1105	What is the effective date of our initial determination about your income-related monthly adjustment amount?
Section 418.1110	What are the modified adjusted gross income ranges?
Section 418.1115	How do we determine your income-related monthly adjustment amount?
Section 418.1120	How will the income-related monthly adjustment amount affect your total Medicare Part B premium?
Section 418.1125	What modified adjusted gross income information will we use to determine your income-related monthly adjustment amount?
Section 418.1135	What will happen if the modified adjusted gross income information from IRS is different from the modified adjusted gross
Section 418.1140	How do we determine your income-related monthly adjustment amount if IRS does not provide information about your
Section 418.1145	When will we use your amended tax return filed with IRS?
Section 418.1150	When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income
Section 418.1201	What is a major life-changing event?
Section 418.1205	What is not a major life-changing event?
Section 418.1210	What is a significant reduction in your income?
Section 418.1215	What is not a significant reduction in your income?
Section 418.1220	Which more recent tax year will we use?
Section 418.1225	What is the effective date of an income-related monthly adjustment amount initial determination that is based on a more recent
Section 418.1230	When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related
Section 418.1235	Should you notify us if the information you gave us about your modified adjusted gross income for the more recent tax year changes?
Section 418.1240	What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
Section 418.1245	What evidence will you need to support your request that we use a more recent tax year?
Section 418.1250	What kind of major life-changing event evidence will you need to support your request for us to use a more recent tax year?
Section 418.1255	What major life-changing event evidence will we not accept?
Section 418.1260	What kind of significant modified adjusted gross income reduction evidence will you need to support your request?
Section 418.1265	What modified adjusted gross income evidence will we not accept?
Section 418.1270	What is an initial determination regarding your income-related monthly adjustment amount?
Section 418.1301	What is not an initial determination regarding your income-related monthly adjustment amount?
Section 418.1305	When may you request that we make a new initial determination?
Section 418.1310	How will we notify you and what information will we provide about our initial determination?
Section 418.1315	What is the effect of an initial determination?
Section 418.1320	How will a Medicare prescription drug coverage income- related monthly adjustment amount determination for the effective year
Section 418.1322	When may you request a reconsideration?
Section 418.1325	Can you request a reconsideration when you believe that the IRS information we used is incorrect?
Section 418.1330	What should you do if our initial determination is based on modified adjusted gross income information you believe
Section 418.1335	What are the rules for our administrative review process?
Section 418.1340	Is reopening of an initial or reconsidered determination made by us ever appropriate?
Section 418.1345	What are the rules for review of a reconsidered determination or an administrative law judge decision?
Section 418.1350	What are the rules for reopening a decision by an administrative law judge of the Office of Medicare Hearings and
Section 418.1355	What is this subpart about?
Section 418.2001	Purpose and administration
Section 418.2005	Definitions
Section 418.2010	What is the income-related monthly adjustment amount?
Section 418.2101	What is the threshold?
Section 418.2105	What is the effective date of our initial determination about your income-related monthly adjustment amount?
Section 418.2110	Paying your income-related monthly adjustment amount
Section 418.2112	What are the modified adjusted gross income ranges?
Section 418.2115	How do we determine your income-related monthly adjustment amount?
Section 418.2120	How will the income-related monthly adjustment amount affect your total Medicare prescription drug coverage premium?
Section 418.2125	What modified adjusted gross income information will we use to determine your income-related monthly adjustment
Section 418.2135	What will happen if the modified adjusted gross income information from the IRS is different from the modified adjusted gross
Section 418.2140	How do we determine your income-related monthly adjustment amount if the IRS does not provide information about
Section 418.2145	When will we use your amended tax return filed with the IRS?
Section 418.2150	When will we determine your income-related monthly adjustment amount based on the modified adjusted gross income
Section 418.2201	What is a major life-changing event?
Section 418.2205	What is not a major life-changing event?
Section 418.2210	What is a significant reduction in your income?
Section 418.2215	What is not a significant reduction in your income?
Section 418.2220	Which more recent tax year will we use?
Section 418.2225	What is the effective date of an income-related monthly adjustment amount initial determination based on a more recent tax year?
Section 418.2230	When will we stop using your more recent tax year's modified adjusted gross income to determine your income-related
Section 418.2235	Should you notify us if the information you gave us about your modified adjusted gross income for the more recent
Section 418.2240	What will happen if you notify us that your modified adjusted gross income for the more recent tax year changes?
Section 418.2245	What evidence will you need to support your request that we use a more recent tax year?
Section 418.2250	What kind of evidence of a major life-changing event will you need to support your request for us to use a more recent
Section 418.2255	What major life-changing event evidence will we not accept?
Section 418.2260	What kind of evidence of a significant modified adjusted gross income reduction will you need to support your request?
Section 418.2265	What modified adjusted gross income evidence will we not accept?
Section 418.2270	What is an initial determination regarding your income-related monthly adjustment amount?
Section 418.2301	What is not an initial determination regarding your income-related monthly adjustment amount?
Section 418.2305	When may you request that we make a new initial determination?
Section 418.2310	How will we notify you and what information will we provide about our initial determination?
Section 418.2315	What is the effect of an initial determination?
Section 418.2320	How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your
Section 418.2322	When may you request a reconsideration?
Section 418.2325	Can you request a reconsideration when you believe that the IRS information we used is incorrect?
Section 418.2330	Can you request a reconsideration when you believe that the CMS information we used is incorrect?
Section 418.2332	What should you do if we base our initial determination on modified adjusted gross income information you believe to be
Section 418.2335	What are the rules for our administrative review process?
Section 418.2340	Is reopening of an initial or reconsidered determination made by us ever appropriate?
Section 418.2345	What are the rules for review of a reconsidered determination or an ALJ decision?
Section 418.2350	What are the rules for reopening a decision by an ALJ of the Office of Medicare Hearings and Appeals (OMHA) or by the
Section 418.2355	What is this subpart about?
Section 418.3001	Purpose and administration of the program
Section 418.3005	Definitions
Section 418.3010	How do you become eligible for a subsidy?
Section 418.3101	Who does not need to file an application for a subsidy?
Section 418.3105	What happens when you apply for a subsidy?
Section 418.3110	What events will make you ineligible for a subsidy?
Section 418.3115	What happens if your circumstances change after we determine you are eligible for a subsidy?
Section 418.3120	When is a change in your subsidy effective?
Section 418.3123	What are redeterminations?
Section 418.3125	Must you file an application to become eligible for a subsidy?
Section 418.3201	What makes an application a claim for a subsidy?
Section 418.3205	What is a prescribed application for a subsidy?
Section 418.3210	Who may file your application for a subsidy?
Section 418.3215	When is your application considered filed?
Section 418.3220	How long will your application remain in effect?
Section 418.3225	When will we use your subsidy inquiry as your filing date?
Section 418.3230	What is income?
Section 418.3301	What is not income?
Section 418.3305	Whose income do we count?
Section 418.3310	What is earned income?
Section 418.3315	How do we count your earned income?
Section 418.3320	What earned income do we not count?
Section 418.3325	What is unearned income?
Section 418.3330	What types of unearned income do we count?
Section 418.3335	How do we count your unearned income?
Section 418.3340	What types of unearned income do we not count?
Section 418.3350	What are resources?
Section 418.3401	What types of resources do we count?
Section 418.3405	Whose resources do we count?
Section 418.3410	How do we determine countable resources?
Section 418.3415	How are funds held in financial institution accounts counted?
Section 418.3420	What resources do we exclude from counting?
Section 418.3425	What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility?
Section 418.3501	How would an increase, reduction or termination affect you?
Section 418.3505	When would an increase, reduction or termination start?
Section 418.3510	How could you qualify for a subsidy again?
Section 418.3515	When do you have the right to administrative review?
Section 418.3601	What is an initial determination?
Section 418.3605	Is there administrative or judicial review for administrative actions that are not initial determinations?
Section 418.3610	Will we mail you a notice of the initial determination?
Section 418.3615	What is the effect of an initial determination?
Section 418.3620	What is the process for administrative review?
Section 418.3625	How do you request administrative review?
Section 418.3630	Can anyone request administrative review on your behalf?
Section 418.3635	How do we determine if you had good cause for missing the deadline to request administrative review?
Section 418.3640	Can you request that the decision-maker be disqualified?
Section 418.3645	How do we make our decision upon review?
Section 418.3650	How will we notify you of our decision after our review?
Section 418.3655	Can your request for a hearing or case review be dismissed?
Section 418.3665	How will you be notified of the dismissal?
Section 418.3670	How does our decision affect you?
Section 418.3675	What is the process for correcting Agency clerical errors?
Section 418.3678	What happens if your case is remanded by a Federal court?
Section 418.3680	Organization and functions