US · guidance
CMS Pub. 100-02, ch. 15, § 40.31
Denial of Payment to Beneficiaries and Others
If a beneficiary submits a claim that includes items or services furnished by an opt-out physician or
practitioner on dates on or after the effective date of opt out by such physician or practitioner, the Medicare
contractor must deny such items or services except as permitted by §40.6.
History
(Rev. 160, Issued: 10-26-12, Effective: 01-28-13, Implementation: 01-28-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
25601983dfbc55a7e369813a226f4637bbb3c1800f1b226d223518f2a67834ec
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