Establishing When Beneficiary Is On Notice of Non-coverage

70.6 - Establishing When Beneficiary Is On Notice of Non-coverage (Rev.: 4198; Issued: 01-11-19; Effective: 04-30-18; Implementation: 04-30-18) If the beneficiary has previously been informed in writing that similar or reasonably comparable extended care items or services were non-covered and it was clear that the beneficiary knew that the circumstances were the same, the beneficiary is liable. With this exception, the beneficiary is presumed not to have known, nor to have been expected to know, that the extended care items or services are not covered unless, or until, s/he receives notification from an appropriate source.