FFS & MA IM/DND

Hospitals are required to deliver the Important Message from Medicare (IM), formerly CMS-R-193 and now CMS-10065, to all Medicare beneficiaries (Original Medicare beneficiaries and Medicare Advantage plan enrollees) who are hospital inpatients. The IM informs hospitalized inpatient beneficiaries of their hospital discharge appeal rights. A Detailed Notice of Discharge (DND) is given only if a beneficiary requests an appeal.  The DND explains the specific reasons for the discharge. 

Full instructions for the Original Medicare, also known as Fee for Service (FFS), process are available in Section 200, of Chapter 30 of the Medicare Claims Processing Manual, available below in "Downloads".

Current versions of the Important Message from Medicare (IM), Form CMS-10065, and the Detailed Notice of Discharge (DND), Form CMS-10066, are posted below under "Downloads".

Full instructions for Medicare health plans are available in Section 100 of the Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance, available below in “Downloads.” 

The notices, including Spanish versions, are available below under “Downloads.”

Please note: The Office of Management and Budget (OMB) control number for the Important Message from Medicare (IM) (CMS-10065) and the Detailed Notice of Discharge (DND) (CMS-10066) expires on December 31, 2025.  CMS is currently coordinating with the OMB, in accordance with the Paperwork Reduction Act (PRA), to reauthorize this information collection, however, we do not anticipate the control number’s reauthorization to occur prior to the expiration date.  Providers may continue using the current version of the notices after the expiration date until CMS provides further instructions.  Once the OMB control number for the IM and DND is reauthorized, CMS will notify the industry through our website, the Health Plan Management System (HPMS), and the Medicare Learning Network.  Providers will have 60 calendar days from the date of the CMS announcement to begin using the updated IM/DND. 

Questions?

Questions regarding the IM and DND can be submitted at: https://appeals.lmi.org