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US · guidance

CMS Pub. 100-04, ch. 30, § 70.1

SNF ABN Standards

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

Step by step instructions for notice completion are posted along with the online replicable

copies of the CMS-Approved Model, Form CMS-10055 on the CMS website. SNFs

should not add any customizations to the notice beyond what is permitted by the

accompanying SNF ABN form instructions and the guidelines published in this section.

SNFs should follow the same standards when completing the SNF ABN as the ABN,

Form CMS-R- 131 in §50.6 of this chapter, as applicable.

History

(Rev.: 12758; Issued: 08-01-24; Effective: 10-02-24; Implementation: 10-02-24)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
1fbaae801a5c7893f9033c6d3763a04f79c2454e0e93bb54de3e477e6058f0dc
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