American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

Opting Out of Medicare

Effective June 13, 2015, physicians who do not receive Medicare payments, but who privately contract with Medicare patients, will not have to renew those agreements. Instead, such private agreements between physicians and patients will automatically be extended. Under the newly passed Medicare Access and CHIP Reauthorization Act (MACRA), private contracts between physicians and Medicare part B beneficiaries will automatically be extended unless the physician provides a notice of non-extension no later than 30 days before the end of the contract period. ​

This policy is effective for affidavits signed on or after June 13, 2015. Current contracts up for renewal on or after June 13 are also included under this policy. Participating physicians may opt-out of Medicare at the beginning of any calendar quarter, provided the affidavit is submitted to the participating physician's Medicare contractor at least 30 days before the beginning of the selected calendar quarter. 

The Centers for Medicare and Medicaid Services (CMS) will also make certain information on providers in private contracts publicly available by February 1, 2016, including specialty or other designation and geographic distribution. This information will be updated annually. To learn more about opting out of Medicare, CMS has further information online. In addition, Medicare Administrative Contractors will be able to answer questions.​


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