Change Date July 5, 2015 a. Requirement The final decision notice must be sent to the last address of record for the for Sending a Final Decision beneficiary, and Notice beneficiary’s designated representative (if any). For more information on determining where to send a notice, see Reference: M21-1, Part I, 2.B.3.b. b. Required Every final decision notice, like a contemporaneous notice, must include the Elements of the following elements Decision Notice statement of decision (including new rate(s), if applicable) statement of applicable effective date(s) reasons for decision overpayment information, and appeal rights. There is no need to re-summarize in the final decision notice any Note: evidence referenced in the advance notice. For more information on References: when to provide a summary of evidence in a decision notice, see M21-1, Part III, Subpart v, 2.B.1.e, and notification requirements, see M21-1, Part III, Subpart v, 2.B.1. c. Procedure Follow the steps in the table below to send the final decision notice. for Sending a Final Decision Notice Step Action 1 Compose the decision notice with all of the required elements and language. For more information on References: the required elements of the final decision notice, see M21-1, Part I, 2.C.4.b, and decision notices, see M21-1, Part III, Subpart v, 2.B. 2 Determine who will receive a notice, and the appropriate address to send the notice.
Change Date July 5, 2015 a. Requirement for Sending a Final Decision Notice The final decision notice must be sent to the last address of record for the beneficiary, and beneficiary’s designated representative (if any). Reference: For more information on determining where to send a notice, see M21-1, Part I, 2.B.3.b. b. Required Elements of the Decision Notice Every final decision notice, like a contemporaneous notice, must include the following elements statement of decision (including new rate(s), if applicable) statement of applicable effective date(s) reasons for decision overpayment information, and appeal rights. Note: There is no need to re-summarize in the final decision notice any evidence referenced in the advance notice. References: For more information on when to provide a summary of evidence in a decision notice, see M21-1, Part III, Subpart v, 2.B.1.e, and notification requirements, see M21-1, Part III, Subpart v, 2.B.1. c. Procedure for Sending a Final Decision Notice Follow the steps in the table below to send the final decision notice. Step Action 1 Compose the decision notice with all of the required elements and language. References: For more information on the required elements of the final decision notice, see M21-1, Part I, 2.C.4.b, and decision notices, see M21-1, Part III, Subpart v, 2.B. 2 Determine who will receive a notice, and the appropriate address to send the notice.