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Medicare Change of Status Notice (MCSN) Manual Instructions Medicare Change of Status Notice (MCSN) Manual Instructions The purpose of this Change Request (CR) is to set forth the guidance for expedited determinations when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.

The purpose of this Change Request (CR) is to set forth the guidance for expedited determinations when a beneficiary is reclassified from an inpatient to an outpatient receiving observation services.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 31, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.