Updated ABN form effective June 21

CMS has updated the Advance Beneficiary Notice of Noncoverage (ABN) form to be effective no later than June 21, 2017. The ABN form has been revised to include the new expiration date as well as language informing beneficiaries of their rights to CMS nondiscrimination practices and how to request the ABN in an alternative format if needed.

  • The new form will be available in Epic@UNC no later than June 21, 2017.  
  • For those that might have printed versions of the CMS-R-131 ABN form,  please remove all currently printed forms and replace with the new version of the ABN reflecting the 03/2020 expiration date .
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