US · guidance
CMS Pub. 100-04, ch. 30, § 400.3.1
Alterations to the MOON
In general, the MOON must remain two pages, unless inclusion of additional information
per section 400.3.8 or State-specific information per section 400.5 below results in
additional page(s). Hospitals and CAHs subject to State law observation notice
requirements may attach an additional page to the MOON to supplement the “Additional
Information” section in order to communicate additional content required under State
law, or may attach the notice required under State law to the MOON. The pages of the
notice can be two sides of one page or one side of separate pages, but must not be
condensed to one page.
Hospitals may include their business logo and contact information on the top of the
MOON. Text may not be shifted from page 1 to page 2 to accommodate large logos,
address headers, or any other information.
History
(Rev. 3698, Issued: 01-27-17, Effective: 02-21-17; Implementation: 02-21-17)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5371d174257b3adfcd39856394ba48d21ab9a5dd0cdb9a9a9f5b7b45882288ec
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