Based in part on current enrollment trends with The Center for Medicare and Medicaid Services (CMS), they have delayed, once again, the enforcement of the required enrollment of Opting in or Opting out of Medicare Part B by healthcare providers.  The new deadline has been moved to June 1, 2016 but CMS encourages prescribers to submit their applications by January of 2016.  The ADA has continued to push for the repeal of this new administrative requirement. It would be prudent to be aware of your options and as a repeal seems unlikely be prepared to make a decision by January of 2016.  The application process takes 60 to 90 days to be completed once it has been submitted. The online process takes approximately 60 days and the paper application 90 days. The Pennsylvania contractor for your application submission is Novitus Solutions.