An affirmation decision upholds SSA’s decision that is being appealed. An affirmation
is appropriate when new information is received but does not change the IRMAA, an
appeal is filed based on a non-qualifying event or the individual wants to protest
the constitutionality of imposing IRMAA. Inputs to the IRMAA PCOM screens will generate
affirmation notices for these situations.
If OMHA or MAC affirms a decision, OMHA or MAC will issue the affirmation notice to
the beneficiary and send information about its action to the SEPSC.
All affirmations notices include appeal rights and inform the beneficiary of how to
appeal the decision.