Issuing a NOMNC to SNF Residents

January 25, 2018
Rick Gawenda

Lately, I have been receiving questions from therapists who practice in home health agencies, comprehensive outpatient rehabilitation facilities and skilled nursing facilities asking if they must issue a Notice of Medicare Non-Coverage (NOMNC) to Medicare beneficiaries who were receiving either Part A or Part B services from their organization, but now those services are ending. In this article, I will explain when a NOMNC is and is not required to be provided to a Medicare beneficiary who is having services provided by a home health agency, comprehensive outpatient rehabilitation facility, or skilled nursing facility. and those services are ending. In addition, I will discuss the NOMNC completion and delivery time frame of the NOMNC to the Medicare beneficiary as well as the provider and beneficiary responsibilities when a NOMNC is delivered to the Medicare beneficiary.

Medicare providers must deliver a NOMNC to all Medicare beneficiaries eligible for the expedited determination process, even if the Medicare beneficiary agrees with the termination of services. So, in what health care settings is the expedited determination process available to Medicare beneficiaries and would require the provider to issue the NOMNC to the Medicare beneficiary?

Health care settings in which the expedited determination process is available to Medicare beneficiaries and a NOMNC is required includes:

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