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FFS ED Notices

HHAs, SNFs, Hospices, and CORFs are required to provide a Notice of Medicare Non-Coverage (NOMNC) to beneficiaries to alert them that Medicare covered item(s) and/or service(s) are ending and give beneficiaries the opportunity to request an expedited determination from a QIO.  A Detailed Notice is given when the QIO review is requested in order to provide more explanation on why coverage is ending.

Download FFS Expedited Determination Notices and Instructions

NOTE: NEW GUIDANCE IS AVAILABLE FOR THE FFS EXPEDITED DETERMINATION PROCESS.  THIS GUIDANCE IS EFFECTIVE AUGUST 26, 2013.  FOR DETAILS, SEE THE "RELATED LINK" BELOW, TITLED, "TRANSMITTAL 2711 - EXPEDITED DET (EFF AUG 26, 2013)".

To download the FFS Expedited Determination Notices and Instructions, please click on the appropriate link below.