CMS has 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.
Both Change Requests have implementation dates of Dec 6, 2013. Agencies are permitted to begin using the new HHCCN now.
CMS should be posting the HHCCN on its the Beneficiary Notice Initiative(BNI) web page soon. However, there a copy included as part of CR 8403. Form ABN CMS – R-131 ABN is currently on the BNI site. This form was revised in 2011 and is still current..