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Regulations last checked for updates: Nov 24, 2024
Title 42 - Public Health last revised: Nov 19, 2024
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Title 42
Chapter V
Part 1001
Subpart C - Subpart C—Permissive Exclusions
§ 1001.201 - Conviction relating to program or health care fraud.
§ 1001.301 - Conviction relating to obstruction of an investigation or audit.
§ 1001.401 - Conviction relating to controlled substances.
§ 1001.501 - License revocation or suspension.
§ 1001.601 - Exclusion or suspension under a Federal or State health care program.
§ 1001.701 - Excessive claims or furnishing of unnecessary or substandard items and services.
§ 1001.801 - Failure of HMOs and CMPs to furnish medically necessary items and services.
§ 1001.901 - False or improper claims.
§ 1001.951 - Fraud and kickbacks and other prohibited activities.
§ 1001.952 - Exceptions.
§ 1001.1001 - Exclusion of entities owned or controlled by a sanctioned person.
§ 1001.1101 - Failure to disclose certain information.
§ 1001.1201 - Failure to provide payment information.
§ 1001.1301 - Failure to grant immediate access.
§ 1001.1401 - Violations of PPS corrective action.
§ 1001.1501 - Default of health education loan or scholarship obligations.
§ 1001.1551 - Exclusion of individuals with ownership or control interest in sanctioned entities.
§ 1001.1552 - Making false statements or misrepresentation of material facts.
§ 1001.1601 - Violations of the limitations on physician charges.
§ 1001.1701 - Billing for services of assistant at surgery during cataract operations.
Appendix Appendix A - Appendix A to Subpart C of Part 1001
authority:
42 U.S.C. 1302
; 1320a-7; 1320a-7b; 1395u(j); 1395u(k); 1395w-104(e)(6), 1395y(d); 1395y(e); 1395cc(b)(2)(D), (E), and (F); 1395hh; 1842(j)(1)(D)(iv), 1842(k)(1), and sec. 2455, Pub. L. 103-355, 108 Stat. 3327 (
31 U.S.C. 6101
note)
source:
57 FR 3330, Jan. 29, 1992, unless otherwise noted.
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