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What does it mean to opt out of exemption?
Last updated Jan 24 2022
Jurisdictions:

CMS has established a rule that allows providers to remain in the standard cycle and continue to submit prior authorization requests (PARs). Providers will receive a notice of exemption if they achieved a greater than 90% PAR affirmation rate. An opt-out form will be included with the exemption notification letter. The form must be submitted to the MAC by November 30th. Late requests will be rejected.