The exemptions can only be acquired by the eligible provider. Group practices selected for and participating in the GPRO I or II reporting wishing to submit an exemption request for the 2012 payment adjustment should submit a letter to:
Significant Hardship Exemptions
Centers for Medicare and Medicaid Services
Office of Clinical Standards and Quality
Quality Measurement and Health Assessment Group
7500 Security Boulevard, Mail Stop S3-02-10
Baltimore, MD 21244-1850
The letter must be postmarked no later than November 1, 2011.