CMS Pub. 100-04, ch. 30, § 261

Beneficiary Notices

(Rev. 2711, Issued: 05-24-13, Effective: 08-26-13, Implementation: 08-26-13)

Delivery of the NOMNC does not replace the required delivery of other mandatory

notices, including ABNs. Notice delivery must be determined by the individual NOMNC

requirements per this section and ABN delivery requirements per §1879 of the Act and

per guidance in this chapter. Both the NOMNC and an ABN may be required in certain

instances.

Only one notice may be required when Medicare covered care is ending.

Example: A beneficiary is receiving CORF services and all covered CORF care is

ending. A NOMNC must be delivered at least two days, or two visits, prior to the end of

coverage. If the beneficiary does not continue the CORF services, an ABN should not be

issued.

Some situations may require two notices at the end of Medicare covered care.

Example: A beneficiary’s Part A stay is ending because skilled level care is no longer

medically necessary and the beneficiary wishes to remain in the SNF receiving custodial

care. The beneficiary must receive the NOMNC two days prior to the end of coverage. A

SNFABN must also be delivered before custodial care begins.

It is also possible that no notice is required when Medicare coverage is ending.

Example: A beneficiary exhausts the 100 day benefit in a SNF. In this instance, the

NOMNC should not be delivered. The SNFABN is not required in this situation.

However, it can be issued voluntarily, as a courtesy to the beneficiary.