Maintaining Information on Opt-Out Physicians

40.20 - Maintaining Information on Opt-Out Physicians (Rev. 222, Issued: 05-13-16, Effective: 08-15-16, Implementation; 08-15-16) 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.