Industry Notes: Medicare Opt-Outs Now Auto-Renew Every 2 Years

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

Article Overview

This article covers a Medicare administrative update affecting how opt-out affidavits are renewed under MACRA and CMS guidance. It is aimed at providers and coding/billing professionals who monitor Medicare participation rules, administrative deadlines, and CMS communications. The piece explains the general policy change, the timing of opt-out periods, and the need to track renewal or cancellation notices with the appropriate Medicare contractors.

Why This Topic Matters

Changes to Medicare opt-out administration can affect provider enrollment status, compliance tracking, and paperwork workflows. Understanding the renewal timing helps organizations avoid unintended continuation or lapse of opt-out status.

What You Will Learn

  • How CMS describes the updated Medicare opt-out affidavit renewal process
  • What timeframes are associated with maintaining or ending opt-out status
  • Which CMS communication references the policy update
  • How the change affects administrative follow-up for providers and Medicare contractors

Who Should Read This

  • Physicians and other Medicare-participating providers
  • Practice managers
  • Medical coders and billing staff
  • Provider enrollment and credentialing staff
  • Compliance professionals

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