August 26, 2009: IMPORTANT UPDATE ON STATUS OF THE REVISED HHABN, FORM CMS-R-296

The Home Health Beneficiary Notice of Noncoverage (HHABN), Form CMS-R-296 is currently undergoing the final stages of the Office of Management and Budget (OMB) review in accordance with the Paperwork Reduction Act (PRA). OMB issued an extension of the expiration date on the current HHABN pending approval of the revised form.

Home Health Agencies should continue using the existing HHABN until the revised HHABN receives final OMB approval at which time it will be posted on this website along with the revised instructions and the date for its mandatory use.  

The OMB-approved HHABN notices and instructions are posted below under "Downloads."  

Downloads
HHABN CMSR296English (8/2009) [zip, 13kb] HHABN CMSR296Spanish (8/2009) [zip, 12kb] CMS Manual HHABN Instructions [pdf, 574kb]
Related Links Inside CMS
There are no Related Links Inside CMS
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 08/25/2009 3:42:33 PM
Help with File Formats and Plug-Ins