Is it necessary to complete both the HHABN and “Notice of Medicare Provider Non-Coverage” form when a beneficiary is going to be discharged from Medicare?
Typically, you will not need to complete both forms in this situation. A “Notice of Medicare Provider Non-Coverage” form should be given to the beneficiary when they are being discharged from all Medicare-covered services. The only reason an HHABN needs to be given is if non-covered care were to continue after the beneficiary’s discharge. For example, the beneficiary has met the goals of the plan of care and is being discharged. However, they want homemaker services to continue. The “Notice of Medicare Provider Non-Coverage” form is given to the beneficiary to notify them they are being discharged from home care. The agency would also give the HHABN to notify the beneficiary that Medicare does not cover the homemaker services they are requesting; therefore, the beneficiary or another payer would be liable for payment of services. Please refer to the Medicare Claims Processing Manual (CMS Pub. 100-04, Ch. 30, §60.2.B) for more information about this question.
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