Mercy Maricopa

Important Information and Provider Notices
December 16,2016
Medicare Outpatient Observation Notice (MOON)
Plan Affected:  Mercy Care Advantage

The Medicare Outpatient Observation Notice (MOON) is a standardized notice to inform beneficiaries (including Mercy Care Advantage enrollees) that they are an outpatient receiving observation services and are not an inpatient of the hospital or critical access hospital (CAH).
The MOON is mandated by the Federal Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), passed on August 6, 2015. The NOTICE Act requires all hospitals and CAHs to provide written and oral notification under specified guidelines.

The Medicare Outpatient Observation Notice and accompanying form instructions are available in "Downloads" at the following CMS website:

In accordance with the above, Mercy Care Advantage contracted hospitals and CAHs are required to provide the MOON beginning January 1, 2017.

For additional information, please see " Federal Register - IPPS - NOTICE Act Final Rule " in "Related Links" on the CMS web page above to view the final NOTICE Act regulation (Section L and 42 CFR 489.20).

As always, don't hesitate to contact your Provider Relations Representative with any
questions or comments. You can find this notice and all other provider notices posted on our
Thanks for all you do!


QB 2317 

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