HI 03094.000 Medicare Part D Exhibits Of Notices

Subchapter Table of Contents
Section Latest
Transmittal
HI 03094.001Exhibits of Medicare Part D NoticesBASIC 05-05
Pre-Application
HI 03094.005Appointment ConfirmationBASIC 05-05
HI 03094.010SSA-L824 - Protective Filing CloseoutBASIC 05-05
HI 03094.015Protective Filing Closeout for Third Party Internet FilerBASIC 05-05
HI 03094.020SSA-L825 - Subsidy Application Cover NoticeBASIC 05-05
Application Development
HI 03094.101WBDOC Exception ProcessingBASIC 05-05
HI 03094.105FO VerificationBASIC 05-05
Initial determination process
HI 03094.201AwardBASIC 05-05
HI 03094.205Pre-DecisionalBASIC 05-05
HI 03094.210DenialBASIC 05-05
Post-entitlement determination
HI 03094.301ChangeBASIC 05-05
HI 03094.305Planned ActionBASIC 05-05
HI 03094.310TerminationBASIC 05-05
Computation worksheets
HI 03094.401Resource WorksheetBASIC 05-05
HI 03094.405Income WorksheetBASIC 05-05
redetermination
HI 03094.501Redetermination - SSA InitiatedBASIC 05-05
HI 03094.505Redetermination - Subsidy Changing EventBASIC 05-05
miscellaneous
HI 03094.601Application ReceiptBASIC 05-05
HI 03094.605Application Filed by Deemed EligibleBASIC 05-05
HI 03094.610Duplicate Subsidy Application from Third PartyBASIC 05-05
HI 03094.615Duplicate Subsidy Application on AwardBASIC 05-05
HI 03094.620Duplicate Subsidy Application on DenialBASIC 05-05
Appeals
HI 03094.701Hearing AppointmentBASIC 05-05
HI 03094.705Acknowledge Receipt of Case ReviewBASIC 05-05
HI 03094.710Acknowledge Receipt of HearingBASIC 05-05
HI 03094.715Good Cause Denial for Subsidy ContinuationBASIC 05-05
HI 03094.720Notice to Living with Spouse Who Does Not AppealBASIC 05-05
HI 03094.725DismissalBASIC 05-05
HI 03094.730Affirmation - Case ReviewBASIC 0