Effective Dates: 5/02/2024 - Present

Identification Number:
NL 00722 TN 13
Intended Audience:See Transmittal Sheet
Originating Office:Centers for Medicare & Medicaid Services (CMS)
Title:Other Computer Generated Notices
Type:POMS Full Transmittals
Program:Medicare
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM

Part NL – Notices, Letters and Paragraphs

Chapter 007 – Letters and Paragraphs for Title II, Title XVI, and Title XVIII

Subchapter 22 – Other Computer Generated Notices

Transmittal No. 13, 05/02/2024

Audience

PSC: BA, CA, CS, DS, ICDS, IES, ILPDS, IPDS, ISRA, NPR, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: BIES, BTE, CC, CDT, CR, EIE, PETL, RECOVR;
OCO-ODO: BTE, CCE, CR, CT, CTE, CTE TE, DSE, PAS, PCS, PETL, RC, RCOVTA, RECOVR;

Originating Component

CMS

Effective Date

Upon Receipt

Background

These sections contain obsolete CMS forms and instructions.

Summary of Changes

NL 00722.029 Form CMS-2653 Hospital Insurance Termination Notice

Archive

NL 00722.031 Form HCFA-2654 Hospital and Medical Insurance Termination Notice

Archive

NL 00722.033 Form CMS-2687 Notice of Medicare Enrollment

Archive

NL 00722.035 Form CMS-2688 Notice of Termination Of Hospital Insurance Benefits

Archive

NL 00722 TN 13 - Other Computer Generated Notices - 5/02/2024