KZA Alert: 2026 ABN Changes

CMS has released an updated version of the Advance Beneficiary Notice of Noncoverage, and practices have a limited window to comply. In this KZA Alert, we break down what’s changed in the revised Form CMS-R-131, who is required to use it, and what steps your team should take now to avoid compliance issues and lost reimbursement.This update focuses on practical implementation, from updating workflows and systems to ensuring staff are aligned before the May 12, 2026 deadline. We also highlight the risks of continuing to use outdated forms and why this seemingly small change can have significant financial implications for your practice.For direct access to the updated form, CMS resources, and additional guidance, please see the links provided below:CMS BNI Webpage: cms.gov/medicare/forms-notices/beneficiary-notices-initiativeCMS ABN Page: cms.gov/medicare/forms-notices/beneficiary-notices-initiative/ffs-abnMedicare Learning Network (MLN): cms.gov/training-education/medicare-learning-networkr-mln/resources-trainingContact your Medicare Administrative Contractor (MAC) for jurisdiction-specific guidance.