CMS Revises SNFABN Form

Nancy Leveille and Carl Pucci in Clinical & Quality

CMS recently revised the SNF Notice of Non-coverage (SNFABN) form CMS-10055. This will replace the notice of exclusion from Medicare Benefits (NEMB-SNF), as well as the five existing SNF denial letters.

  • For Part A items and services, SNFs must use the newly revised SNFABN as the liability notice
  • For Part B items and services, SNFs must use the Advance Beneficiary Notice of Non-coverage (ABN), form CMS-R-131.

We are seeking further clarification regarding the intent of Option 2 and 3. Mandatory usage of the form became effective this past Monday, May 7, 2018.

Attached is the AHCA notice which provides further information and related CMS links.


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20 

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36