Medicare Claims Processing Manual (Pub. 100-04), Ch. 21 § 20.1
Specifications for Content Variations of Spanish MSNs
20.1 - Specifications for Content Variations of Spanish MSNs
(Rev. 4286, Issued: 04-26-19, Effective: 05-28-19, Implementation: 05-28-19)
A. Language & Style Conventions (Global)
Spanish text does not follow the convention of title case. All headers should follow
sentence case, where the first letter of the header (and proper names, such as “Medicare”)
is capitalized, but all remaining text is lowercase.
Spanish dates with be listed with numeric day, spelled-out month, and complete numeric
year with ‘de’ in between the fields (e.g., 16 de septiembre de 2011).
B. Notice Title (10.3.3:A)
The notice descriptive tagline on Spanish MSNs run in two lines.
[The below figure is new.]
C. Notice Details (10.3.3:D)
The gray highlight box on Spanish MSNs the same width and 137 points height. This
will account for the length of the date being longer in Spanish.
D. Be Informed (10.3.3:F)
This subsection can accommodate one message from CMS of up to 375 characters
(inclusive of spaces) in Spanish.
E. Foreign Language Footer (10.3.3:J)
The Foreign Language Footer flash image on page 1 is not needed on Spanish MSNs and
should be suppressed.
F. How to Report Fraud (10.3.5:C)
The third and final paragraph of this section contains a fraud-specific message from
CMS. The message must be a maximum of 225 characters long (inclusive of spaces).
G. Your Messages from Medicare (10.3.5:G)
This subsection can accommodate up to four messages from CMS. First and second
message fields must accommodate messages with a maximum of 200 characters each
(inclusive of spaces) and third and fourth message fields must accommodate messages
with a maximum of 250 characters each (inclusive of spaces). If there is not sufficient
space to print all four messages on page 2, then just the first three messages should be
printed.
H. CPT Code Descriptors
Spanish A/B MSNs shall use the HCPCS (level 1)/CPT consumer-friendly code
descriptors. The service description has a maximum of 300 characters. Suppress the rest
if the description runs longer.
Spanish DME MSNs shall use the HCPCS level 2 short 28-character code descriptors.
I. Claim Column Titles (10.3.6:D)
The claim column titles runs in 4 lines in the Spanish MSNs. The height is 50 points but
the widths of columns stay the same. Content variation and formatting stays the same as
English.
J. Get More Details (10.3.8:B)
Due to restriction on space, the content area for this subsection begins (0˝, 0.97˝) or 8
points from the baseline of the “Section Title” subsection.
K. If You Need Help Filing Your Appeal (10.3.8:D)
See Exhibit 3.17 for alternate language for contact when the MSN mailing address is
outside the 50 states.
L. Find Out More (10.3.8:E)
Due to space restraints, the Spanish MSNs do not have a header for “Find Out More
About Appeals” subsection. Instead only the body content is listed as the last paragraph
of the previous subsection, “If You Need Help Filing Your Appeal” (10.3.8.D).
M. File an Appeal in Writing (10.3.8:F)
Due to restriction on space, the content area for this subsection begins (0˝, 0.97˝). This
should top align with the “Get More Details” subsection in the left column.
If the contractor needs 5 lines for the mailing address, delete GR 4.1 space between step 7
and the MAC address to fit the gray box within the page.
FORMATTING
[GR 1] gray fill
[TH 3] subsection header
[GR 4.1] space after header
[TB 2.1] body text
[GR 4.1] space after header
[TB 2.2] step 1 [TB 2.1] body text
[GR 4.1] space after header
[TB 2.2] step 2 [TB 2.1] body text
[GR 4.1] space after header
[TB 2.2] step 3 [TB 2.1] body text
[GR 4.1] space after header
[TB 2.1] fill in category
[GR 5] space after text
[GR 7] fill in box
[GR 6] space after text
[TB 2.1] fill in category
[GR 5] space after text
[GL 7] fill in box
[GR 4.1] space after header
[TB 2.2] steps 4 - 7 [TB 2.1] body text
[TB 2.2] MAC address
N. Spanish RRB S MAC MSNs (10.3.12)
The Spanish RRB Part B MSNs follow the same content and specifications variations in
this section. See Exhibit 3.9 for translations specific to RRB Part B MSNs.