Providers who opted out of Medicare in error and are now facing consequences with employers or entities whom they are contracted with should be aware of the opportunity to submit provider enrollment reconsideration requests.

Once a provider submits an opt-out affidavit, the provider has 90 days from the date of the initial opt out request to change their mind and enroll in Medicare. CMS’s Regional Office recently notified us that those who mistakenly opted out can submit a reconsideration request.  

A reconsideration request is an opportunity for a provider to furnish evidence that demonstrates that there was an error made at the time of the initial determination affecting participation in the Medicare Program. Noridian Health Care Solutions’ reconsideration request forms can be found here.  

Reconsideration request forms must be submitted within 65 days of the initial determination date to be considered. CMS has up to 90 days to issue a decision. 
 

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