Determinations and the Administrative Review Process | Midpage

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Code of Federal Regulations

ECFR5a8fbb54820450f

Determinations and the Administrative Review Process

418.2301What is an initial determination regarding your income-related monthly adjustment amount?418.2305What is not an initial determination regarding your income-related monthly adjustment amount?418.2310When may you request that we make a new initial determination?418.2315How will we notify you and what information will we provide about our initial determination?418.2320What is the effect of an initial determination?418.2322How will a Medicare Part B income-related monthly adjustment amount determination for the effective year affect your Medicare prescription drug coverage?418.2325When may you request a reconsideration?418.2330Can you request a reconsideration when you believe that the IRS information we used is incorrect?418.2332Can you request a reconsideration when you believe that the CMS information we used is incorrect?418.2335What should you do if we base our initial determination on modified adjusted gross income information you believe to be incorrect?418.2340What are the rules for our administrative review process?418.2345Is reopening of an initial or reconsidered determination made by us ever appropriate?418.2350What are the rules for review of a reconsidered determination or an ALJ decision?418.2355What 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)?