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US · guidance

CMS Pub. 100-02, ch. 15, § 40.1

Private Contracts Between Beneficiaries and Physicians/Practitioners

activein force · 2026-08-25 – presentas-observed

Section 1802 of the Act, as amended by §4507 of the BBA of 1997 and §106 of the Medicare Access and

CHIP Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10), permits a physician/practitioner to opt-out

of Medicare and enter into private contracts with Medicare beneficiaries if specific requirements of this

instruction are met.

History

(Rev. 222, Issued: 05-13-16, Effective: 08-15-16, Implementation; 08-15-16)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
6d647f3d2c8f5aec3e3602a485be14c60f39cc910f4fe8aede6f8f79a3568a92
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