Skip to content
FonteumPublic-records evidence

AI summary

Medicare opt-out affidavit: what it means

What is a Medicare opt-out affidavit?

A Medicare opt-out affidavit records a physician or practitioner election to furnish covered services to Medicare beneficiaries only under qualifying private contracts rather than submit Medicare claims for those services. CMS publishes the current roster with effective and end dates. The election is not an exclusion, disciplinary action, quality finding, or eligibility verdict.

Published
2026-07-20
Retrieved
Not reported
Snapshot
sha256:0f73babb228d9ec7015172fb6a15651fc90172c8b70abbbc95d85777ccd58f45
Data as of
2026-05-15

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Opt Out Affidavits

Evidence publisher: Centers for Medicare & Medicaid Services (CMS). Source date: 2026-05-15.

Published
Not reported
Retrieved
Not reported
Snapshot
Not retained for this live source artifact
Data as of
2026-05-15

No captured bytes are represented; use the live publisher link to re-check this source.

Scope and material limitation

What this answer covers

This answer explains the source record, not legal advice for executing a private contract. Current CMS instructions and the applicable Medicare contractor control the process.

Dated source facts

What the cited record says

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
b427be34f7fb7a8caa18fc3f3f40b625b80dd5fe0707eb2544a8f8be8d537060
Previous chain SHA-256
cd81f0f0adeaee1ba7671472e4dcaede19e9d464cf305f16a859d26068e65d78
Current chain SHA-256
d59c74fe124fd116a7934c11d4d05b517be32935444ac5f0013a1001f058868f
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. Opt Out AffidavitsCenters for Medicare & Medicaid Services (CMS)Snapshot:

    Limitation: This is a dated current-roster snapshot, not a cumulative history. A returned row records an affidavit; no row is not an eligibility or participation conclusion.

Re-derive this answer from the cited government file; no Fonteum account is required.

Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • No inference is made about a clinician's conduct, competence, or standing.
Read the methodology

Frequently asked questions

Questions about this answer

Is Medicare opt-out an OIG exclusion?
No. Opting out is a billing election, while an OIG exclusion is a separate federal program-integrity action.

What’s on file, by the numbers

Platform snapshot · 2026-08-11

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
73fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Request access