01/16/2019

CMS Revises SNF Advance Beneficiary Notice of Non-Coverage MLN article: No Substantive Changes

On January 11, the Centers for Medicare & Medicaid Services (CMS) released a revised MLN article on the skilled nursing facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) to reflect the revised Change Request 10567 issued on January 11. The CR revisions have no impact on the content of the article. In the article, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same. CR 10567 revised the Skilled Nursing Facility Notice of Noncoverage (SNF ABN), Form CMS-10055. With the revision, CMS discontinued the five Skilled Nursing Facility (SNF) Denial Letters: the Intermediary Determination of Noncoverage, the Utilization Review (UR) Committee Determination of Admission, the UR Committee Determination on Continued Stay, the SNF Determination on Admission and the SNF Determination on Continued Stay, as well as the Notice of Exclusion from Medicare Benefits (NEMB-SNF), Form CMS20014. The use of the new form became mandatory on April 30, 2018.