INTRODUCTION, GENERAL PROVISIONS, AND DEFINITIONS

• § 418.3001 - What is this subpart about?

• § 418.3005 - Purpose and administration of the program.

• § 418.3010 - Definitions.

ELIGIBILITY FOR A MEDICARE PRESCRIPTION DRUG SUBSIDY

• § 418.3101 - How do you become eligible for a subsidy?

• § 418.3105 - Who does not need to file an application for a subsidy?

• § 418.3110 - What happens when you apply for a subsidy?

• § 418.3115 - What events will make you ineligible for a subsidy?

• § 418.3120 - What happens if your circumstances change after we determine you are eligible for a subsidy?

• § 418.3123 - When is a change in your subsidy effective?

• § 418.3125 - What are redeterminations?

FILING OF APPLICATION

• § 418.3201 - Must you file an application to become eligible for a subsidy?

• § 418.3205 - What makes an application a claim for a subsidy?

• § 418.3210 - What is a prescribed application for a subsidy?

• § 418.3215 - Who may file your application for a subsidy?

• § 418.3220 - When is your application considered filed?

• § 418.3225 - How long will your application remain in effect?

• § 418.3230 - When will we use your subsidy inquiry as your filing date?

INCOME

• § 418.3301 - What is income?

• § 418.3305 - What is not income?

• § 418.3310 - Whose income do we count?

• § 418.3315 - What is earned income?

• § 418.3320 - How do we count your earned income?

• § 418.3325 - What earned income do we not count?

• § 418.3330 - What is unearned income?

• § 418.3335 - What types of unearned income do we count?

• § 418.3340 - How do we count your unearned income?

• § 418.3350 - What types of unearned income do we not count?

RESOURCES

• § 418.3401 - What are resources?

• § 418.3405 - What types of resources do we count?

• § 418.3410 - Whose resources do we count?

• § 418.3415 - How do we determine countable resources?

• § 418.3420 - How are funds held in financial institution accounts counted?

• § 418.3425 - What resources do we exclude from counting?

ADJUSTMENTS AND TERMINATIONS

• § 418.3501 - What could cause us to increase or reduce your subsidy or terminate your subsidy eligibility?

• § 418.3505 - How would an increase, reduction or termination affect you?

• § 418.3510 - When would an increase, reduction or termination start?

• § 418.3515 - How could you qualify for a subsidy again?

DETERMINATIONS AND THE ADMINISTRATIVE REVIEW PROCESS

• § 418.3601 - When do you have the right to administrative review?

• § 418.3605 - What is an initial determination?

• § 418.3610 - Is there administrative or judicial review for administrative actions that are not initial determinations?

• § 418.3615 - Will we mail you a notice of the initial determination?

• § 418.3620 - What is the effect of an initial determination?

• § 418.3625 - What is the process for administrative review?

• § 418.3630 - How do you request administrative review?

• § 418.3635 - Can anyone request administrative review on your behalf?

• § 418.3640 - How do we determine if you had good cause for missing the deadline to request administrative review?

• § 418.3645 - Can you request that the decision-maker be disqualified?

• § 418.3650 - How do we make our decision upon review?

• § 418.3655 - How will we notify you of our decision after our review?

• § 418.3665 - Can your request for a hearing or case review be dismissed?

• § 418.3670 - How will you be notified of the dismissal?

• § 418.3675 - How does our decision affect you?

• § 418.3678 - What is the process for correcting Agency clerical errors?

• § 418.3680 - What happens if your case is remanded by a Federal court?