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April 7, 2023

Advance Beneficiary Notice of Noncoverage: Form Renewal

The Office of Management and Budget approved the Advance Beneficiary Notice of NoncoverageExternal Website (Form CMS-R-131) for renewal. This renewed form expires January 31, 2026. The expiration date is the only change to the form. You can use the renewed form now. You MUST begin using it June 30, 2023, when the previous version expires.

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