SPECIAL ANNOUNCEMENT: New ABN Form

  • The Office of Management and Budget approved the Advance Beneficiary Notice of Noncoverage (Form CMS-R-131) for renewal. This renewed form expires January 31, 2026.  The expiration date is the only change to the form.
  • You may use the renewed form now, but you must use it beginning June 30, 2023, when the previous version expires.

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