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Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 120 Days to Every 180 Days

The purpose of this Change Request (CR) is to change the frequency of MSN mailings from every 120 days to every 180 days, in order to conserve funding.

Download the Guidance Document

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

Issue Date: August 21, 2025

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.