Provider Enrollment: Opt Out

Specific rules pertaining to physicians or practitioners who choose to "opt out" of Medicare and enter into private contracts with beneficiaries.

Listing of physicians or practitioners who have chosen to opt out of the Medicare program

Chapter 15 updated to clarify that regardless of whether or when a carrier notifies a provider of the failure to maintain opt-out, the consequences for the failure on the part of a provider to maintain opt-out will apply. [MM6081]