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US · guidance

CMS Pub. 100-04, ch. 30, § 200.3.8

Notice Retention for the IM

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

The hospital or CAH must retain the signed IM in the beneficiary’s medical record. The

beneficiary receives a paper copy of the IM that includes all of the required information

described in this section. Electronic notice retention is permitted.

Hospitals must also document delivery of the follow-up copy of the IM in the patient

records, when applicable. For example, hospitals may use the “Additional Information”

section of the IM to document delivery of the follow-up copy by adding a line for the

beneficiary’s or representative’s initials and date.

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
85f5d7d4692bfd2216897af2ca6f85ea100f771bd93fdff5ef5b762bee0f4765
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