My AI, acc. to this problem, answered me as follows:
-For MDMT -18°C and warmer, if flanges are standard acc. to B16.5 or B16.47, UCS-66 (c)(1)(-b) applies, so as-forged condition, without grain issuee, is sufficient.
-For MDMT between -18°C and -29°C, fine-grain practice is required and yes, according to note (e)(2) you must refer to SA-20 and its conditions. "Fine grain practice" only written on MTR, without any indication about Al% or grain size is not sufficient.
Please notice that if A105, in any condition, has impact test certificied @ MDMT, any discussion here doesn't apply because you do not have to apply anymore UCS-66 exemption.
This is what my ASME inspector told me: actually this means that requirements of SA 20, for standard flanges, are indeed applicable only for MDMT between -18°C and -29°C (@ higher temperature, as forged condition is enough)