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Medicare Notices of Non-Coverage
We are Ohio's Medicare Quality Improvement Organization, working with healthcare professionals to improve the quality of care for Ohio's 1.8 million Medicare beneficiaries.Our site offers resources and quality improvement information for providers, patients, and families. Welcome!


Medicare-certified healthcare providers are required to provide Medicare patients with routine notices of non-coverage in all inpatient and some outpatient settings. A list of these notices follows:

Notice Who? When? Notes
Important Message from Medicare

Hospitals including long-term acute care

No greater than two days prior to discharge

Regardless if patient is enrolled in a Medicare traditional fee for service or Medicare Advantage plan

Benefits Improvement and Protection Act (BIPA) Notice and Medicare Advantage (MA) Notice

Skilled nursing facilities, home health agencies, hospices, and comprehensive outpatient rehabilitation facilities

Two days prior to discharge/skilled services ending (or two visits prior to the last visit)

Not given for a reduction in service For Medicare Advantage, the plan generally makes the decision, but it is the facility’s or agency’s responsibility to deliver the notices

Detailed notice All When an appeal is requested


Read more or download copies of the notices.







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