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US · guidance

CMS Pub. 100-04, ch. 30, § 200.3.1

Alterations to the IM

activein force · 2026-08-25 – presentas-observed

• The IM must remain two pages. The notice can be two sides of one page or one

side of two separate pages, but must not be condensed to one page.

• Hospitals may include their business logo and contact information on the top of

the IM. Text may not be shifted from page 1 to page 2 to accommodate large

logos, address headers, etc.

• Hospitals may include information in the optional “Additional Information”

section relevant to the beneficiary’s situation.

NOTE:

Including information normally included in the Detailed Notice of Discharge (DND) in

the “Additional Information” section does not satisfy a hospital’s responsibility to deliver

the DND, if otherwise required. See §200.4.5 ‘The Detailed Notice of Discharge (DND)’.

History

(Rev. 11210; Issued: 01-21-2022; Effective: 04-21-2022; Implementation: 04-21- 2022)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
60b32ab149f574ac95be430d0b24fb5db32d71a320f3d4ae896d79ca01d01f61
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