Medicare Benefit Policy Manual (Pub. 100-02), Ch. 15 § 40.34
Cancellation of Opt-Out
40.34 - Cancellation of Opt-Out
(Rev. 222, Issued: 05-13-16, Effective: 08-15-16, Implementation; 08-15-16)
A physician or practitioner may cancel opt-out by submitting a written notice to each MAC to which he or
she would file claims absent the opt-out, not later than 30 days before the end of the current 2-year opt-out
period, indicating that the physician or practitioner does not want to extend the application of the opt-out
affidavit for a subsequent 2-year period.