Update to Provider Enrollment Appeals and Rebuttals Processing Instructions and Model Letters
The purpose of this Change Request (CR) is to instruct the Medicare Administrative Contractors to process Medicare provider enrollment appeals related to individual physician and practitioner opt-outs in Chapter 10 of Publication (Pub.) 100-08 (Medicare Program Integrity Manual or MPIM). This CR will also update other provider enrollment appeal and rebuttals processing instructions and model letters, as well as opt-out and deactivation model letters.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 13, 2025
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.