Determinations and the Administrative Review Process | Midpage

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Code of Federal Regulations

ECFRe5c996498e76059

Determinations and the Administrative Review Process

418.1301What is an initial determination regarding your income-related monthly adjustment amount?418.1305What is not an initial determination regarding your income-related monthly adjustment amount?418.1310When may you request that we make a new initial determination?418.1315How will we notify you and what information will we provide about our initial determination?418.1320What is the effect of an initial determination?418.1322How will a Medicare prescription drug coverage income-related monthly adjustment amount determination for the effective year affect your Medicare Part B?418.1325When may you request a reconsideration?418.1330Can you request a reconsideration when you believe that the IRS information we used is incorrect?418.1335What should you do if our initial determination is based on modified adjusted gross income information you believe to be incorrect?418.1340What are the rules for our administrative review process?418.1345Is reopening of an initial or reconsidered determination made by us ever appropriate?418.1350What are the rules for review of a reconsidered determination or an administrative law judge decision?418.1355What 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)?