Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) - Revised

MLN Matters Number: MM10567 Revised
Related CR Release Date: January 11, 2019
Related CR Transmittal Number: R4198CP
Related Change Request (CR) Number: 10567
Effective Date: April 30, 2018
Implementation Date: April 30, 2018

Note: This article was revised on January 11, 2019, to reflect the revised CR 10567 issued on January 11. The CR revisions had no impact on the content of the article. In the article, CMS revised the CR release date, transmittal number, and the web address of the CR. All other information remains the same.

This article informs you about Change Request (CR) 10567, which advises you that the Centers for Medicare & Medicaid Services (CMS) has revised the Skilled Nursing Facility Notice of Non-coverage (SNF ABN), Form CMS-10055. With this revision, CMS is discontinuing the five Skilled Nursing Facility (SNF) Denial Letters (namely, the Intermediary Determination of Noncoverage, the UR Committee Determination of Admission, the UR Committee Determination on Continued Stay, the SNF Determination on Admission and the SNF Determination on Continued Stay), and the Notice of Exclusion from Medicare Benefits (NEMB-SNF), Form CMS-20014. Please ensure that your billing staffs are aware of these changes.

Please note that the Notice of Medicare Non-Coverage (NOMNC), Form CMS-10123 is not being discontinued with this revised SNF ABN. More information on the NOMNC is available at

View the complete CMS Medicare Learning Network (MLN) Matters (MM)10567.

            Last Updated Tue, 06 Oct 2020 15:04:01 +0000