A provider that has opted out of the Medicare program is not required to complete a separate application to order or refer items/services for beneficiaries to other Medicare providers. However, the opt-out provider must meet the following qualifications:
- His or her opt-out information must be current.
Note: For more information regarding opt-out requirements, please click here.
- He or she must be of a specialty type eligible to order/refer items or services for Medicare beneficiaries.
- Physicians (doctor of medicine or osteopathy, doctor of dental medicine, doctor of dental surgery, doctor of podiatric medicine, doctor of optometry, optometrists may only order and certify DMEPOS products/services and laboratory and X-Ray services payable under Medicare Part B)
- Physician Assistants
- Clinical Nurse Specialists
- Clinical Psychologists
- Interns, Residents, and Fellows
- Certified Nurse Midwives
- Clinical Social Workers
- Marriage and family therapist
- Mental health counselor
References