January 7, 2020: The Office of Management and Budget (OMB) has renewed the IM (CMS-10065) and DND (CMS-10066). Please note the IM has been revised and has a new CMS Form number (CMS-10065), it was formerly the CMS-R-193. Hospitals are required to use the new IM and DND beginning April 1, 2020. Both the previous and new versions of the notices are acceptable for use through March 31, 2020.
Hospitals are required to deliver the Important Message from Medicare (IM), formerly CMS-R-193 and now CMS-10065, to all Medicare beneficiaries (Original Medicare beneficiaries and Medicare Advantage plan enrollees) who are hospital inpatients. The IM informs hospitalized inpatient beneficiaries of their hospital discharge appeal rights. A Detailed Notice of Discharge (DND) is given only if a beneficiary requests an appeal. The DND explains the specific reasons for the discharge.