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Medicare AdvantageAdministrativeMedium impact

Use Updated Medicare Outpatient Observation Notice

BCBS Montana·Emergency Medicine·Government Programs
Effective date
Apr 20, 2026
We identified it
Jun 18, 2026
Days to comply

Summary

The Centers for Medicare & Medicaid Services has updated the Medicare Outpatient Observation Notice that hospitals must provide to Medicare Advantage members under observation for more than 24 hours. Providers must transition to using the new CMS notice by April 20, 2026, and the updated version is effective through February 28, 2029.

Action Required

Action needed
By April 20, 2026: Hospital billing and nursing staff must download the updated Medicare Outpatient Observation Notice from the CMS website (available in English, Spanish, and large print). Update workflows to ensure the new notice is provided to Medicare Advantage members within 36 hours of observation beginning when observation exceeds 24 hours. Staff must verbally explain the notice, obtain member signature, and document all communications in patient records.