Advisory Opinion Procedures / Stark Advisory Opinion Procedures / Rules and Information for Submitting a Request

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This page outlines CMS requirements for submitting a Stark advisory opinion request and is relevant to healthcare compliance, physician arrangements, and fraud-and-abuse review. It summarizes the categories of information CMS expects, the supporting documentation and certifications to include, the filing fee, and where to send the request. The article is useful for providers, legal/compliance teams, and organizations evaluating whether an arrangement may raise Stark or related federal program concerns.

Why This Topic Matters

Understanding the submission requirements helps organizations prepare a complete request and avoid delays when seeking CMS guidance on a physician financial relationship or referral arrangement.

What You Will Learn

  • What information CMS expects in a Stark advisory opinion request
  • What supporting documents and certifications must accompany the request
  • What filing and mailing requirements apply to the submission
  • What types of arrangement details CMS wants described for review

Who Should Read This

  • Healthcare compliance professionals
  • Healthcare attorneys
  • Physician practice administrators
  • Hospital and health system compliance teams
  • Medical group management
  • Billing and coding compliance staff

Code Ranges Discussed

  • CFR: 42 CFR §411.372(A-B)

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