US · guidance
CMS Pub. 100-02, ch. 15, § 40.20
Maintaining Information on Opt-Out Physicians
The Medicare contractor must maintain information on the opt-out physicians or practitioners. At a
minimum, it must capture the name and TIN of the physician or practitioner, the effective date of the opt-out
affidavit, and the automatic 2-year renewal date for affidavits filed on or after June 16, 2015. If the
physician/practitioner cancels opt-out (see §40.34), then the Medicare contractor must also maintain the
physician/practitioner’s opt-out end date or cancellation date. The Medicare contractor may also include
other provider-specific information it may need. If cost effective, it may house this information on its
provider file.
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
257bba9e7b2395d0efe2eb551c23d51b5a92ad518d3d09b2058d690830f04c8a
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