CMS Issues New Guidance on the Use of ABN and HHCCN
Monday, November 11, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On December 9, 2013, Home Health Agencies (HHAs) will be expected to utilize the Advanced Beneficiary of Noncoverage (ABN) for Option 1 and the Home Health Change of Care Notice (HHCCN) for Option 2 & 3 over the current Health Advance Beneficiary Notice of Noncoverage (HHABN) for Medicare Fee-for Service beneficiaries.  The HHABN cannot be used effective December 9th.
HHAs must issue the HHCCN when prompting event changes the beneficiary's Plan of Care (POC). Causing events are decreases or terminations in care such as, physician/provider orders and limitations of the HHA in providing a specific service.
Notification is required for both covered and non-covered services listed in the POC. If a termination involves the end of all Medicare-covered care and no further care is being administered, the only notice issued would be a Notice of Medicare Non-coverage (NOMNC), Form CMS-10123.
Click here for additional information from CMS.
CMS also issued the Change Requests (CR) 8403 and 8504, which provides instructions for completing the Home Health Change of Coverage Notice (HHCCN) and the Advanced Beneficiary Notice of Noncoverage (ABN) (Form CMS-R-131), respectively. The HHCCN will replace the Option Box 2 and Option Box 3 formats of the HHABN. The ABN will replace the HHABN Option Box 1 format. CMS also offers clarification on these notices. 
Both Change Requests have implementation dates of Dec 9, 2013. Agencies are permitted to begin using HHCCN now.  
CMS will post the HHCCN on its Beneficiary Notice Initiative (BNI) webpage. However, there is a copy included as part of CR 8403. Form ABN CMS-R-131 is currently on the BNI site. This form was revised in 2011 and is still current.                                                                                                               
Click here to download additional information from CMS. 

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