[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR1001.1]



[Page 1122-1123]

 

                         TITLE 42--PUBLIC HEALTH

 

      GENERAL--HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

PART 1001_PROGRAM INTEGRITY_MEDICARE AND STATE HEALTH CARE PROGRAMS--

 

                      Subpart A_General Provisions

 

Sec.  1001.1  Scope and purpose.





    (a) The regulations in this part specify certain bases upon which 

individuals and entities may, or in some cases must, be excluded from 

participation in Medicare, Medicaid and all other Federal health care 

programs. They also state the effect of exclusion, the factors that will 

be considered in determining the length of any exclusion, the provisions 

governing notices of exclusions, and the process by which an excluded 

individual or entity may seek reinstatement into the programs.

    (b) The regulations in this part are applicable to and binding on 

the Office of Inspector General (OIG) in imposing



[[Page 1123]]



and proposing exclusions, as well as to Administrative Law Judges 

(ALJs), the Departmental Appeals Board (DAB), and federal courts in 

reviewing the imposition of exclusions by the OIG (and, where 

applicable, in imposing exclusions proposed by the OIG).



[57 FR 3330, Jan. 29, 1992, as amended at 58 FR 5618, Jan. 22, 1993; 64 

FR 39426, July 22, 1999]