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Updated Medicare Part C and Part D Appeals Notices and Appointment of Representative Form

Guidance for the reiteration to Medicare Advantage organizations, other health plans, and Part D plan sponsors that updated versions of the Medicare coverage denial and appeals notices and the Appointment of Representative (AOR) form are posted on the CMS website at: www.cms.gov/CMSForms/CMSForms.

Download the Guidance Document

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

Issue Date: February 16, 2011

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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.