US · guidance
CMS Pub. 100-04, ch. 30, § 260.3.1
Alterations to the NOMNC
The NOMNC 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.
Providers may include their business logo and contact information on the top of the
NOMNC. Text may not be shifted from page 1 to page 2 to accommodate large logos,
address headers, etc.
Providers may include information in the optional “Additional Information” section
relevant to the beneficiary’s situation.
Note: Including information normally included in the Detailed Explanation of Non-Coverage (DENC) in the “Additional Information” section does not satisfy a provider’s
responsibility to deliver the DENC, if otherwise required.
History
(Rev. 2711, Issued: 05-24-13, Effective: 08-26-13, Implementation: 08-26-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
f20defce0c28c210ff478b9ba0109bf0427e9bf81945d843303d14f51a8f85be
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