The Centers for Medicare & Medicaid Services (CMS) has released additional Medicare Outpatient Observation Notice (MOON) formats in large print for English- and Spanish-speaking patients who request them. You can download them at https://www.cms.gov/Medicare/Medicare-General-Information/BNI/.
Hospitals and critical access hospitals (CAHs) are responsible for providing the MOON to Original Medicare beneficiaries and Medicare Advantage (MA) plan members, or their authorized representative. The MOON is mandated by the Federal Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act), passed on Aug. 6, 2015.
Additional information about the MOON can be found here, or in CMS MLN Matters Number 9935 at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9935.pdf.