State Operations Manual (Pub. 100-07), Ch. 3 § 3046
Voluntary Terminations
3046 - Voluntary Terminations
(Rev. 1, 05-21-04)
3046A - General
(Rev. 202, Issued: 06-19-20, Effective: 06-19-20, Implementation: 07-27-20)
Under the provisions of §1866(b)(1) of the Act, a provider of services may terminate its
agreement by filing a written notice of its intention. If a Medicare provider/supplier
notifies the SA of its desire to terminate its Medicare participation or if it ceases
operations which is considered as voluntarily terminating its agreement, the SA notifies
the MAC via the Form CMS-1539. The MAC accepts the proposed termination date,
which must be the first day of the month, or sets a different date after communication with
the provider per 42 CFR 489.52(b)(1). However, the termination date must not be more
than 6 months from the date the notice is filed.
The following are possible reasons for voluntary termination: