FFS MCSN

New Notice & Appeals Process for Original Medicare Beginning February 14, 2025:

Medicare beneficiaries with Original Medicare who have been reclassified by a hospital from an inpatient to an outpatient receiving observation services and meet additional criteria have a right to appeal their status change to a Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO).

Hospitals must deliver the Medicare Change of Status Notice (MCSN) to all beneficiaries eligible for the expedited determination process. 

• To download the MCSN, please click on the appropriate link below in "Downloads".
• The MCSN is available in English, Spanish, Chinese, Vietnamese, and Korean.
• Full instructions for delivery of the MCSN and appeals process are available in Section 450, of Chapter 30 of the CMS Claims Processing Manual, available below in "Downloads".