New Medicare ABN Required as of August 31, 2020
The Medicare Advanced Beneficiary Notice of Non-coverage (ABN), Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. Be sure that you are using the renewed form with the expiration date of 06/30/2023 as it will be mandatory as of 8/31/2020. The ABN form and instructions may be downloaded below.
Download the current version of the Medicare ABN.