Maintaining your Medicare opt-out status

June 06, 2017
Area(s) of Interest: Payor Contracting Practice Management 

Physicians who have previously opted-out of Medicare should be aware that the first date of automatic renewal is approaching on June 16, 2017. 

As a result of the Medicare Access and CHIP Reauthorization Action of 2015 (MACRA), validated opt-out affidavits signed on or after June 16, 2015, will automatically renew two years after the effective date.

To opt out of this automatic renewal, the physician must cancel in writing with at least 30 days notice prior to the start of the next two-year opt-out period. Cancellation notices must be sent to all Medicare contractors with which the physician filed the original affidavits.

Opt-out affidavits signed prior to June 16, 2015, will expire two years after the effective date. If you have an opt-out affidavit signed prior to June 16, 2015, and you wish to extend your opt-out period, you must submit an opt-out renewal affidavit to Noridian (California’s Medicare contractor) no later than 30 days after the current opt-out expiration date. Subsequent renewals will happen automatically every two years per the new rules.

More information about opting out and maintaining opt-out status is available here.


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