[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: 42CFR1001.2006]



[Page 1166]

 

                         TITLE 42--PUBLIC HEALTH

 

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

 

PART 1001_PROGRAM INTEGRITY_MEDICARE AND STATE HEALTH CARE PROGRAMS--

 

                      Subpart E_Notice and Appeals

 

Sec.  1001.2006  Notice to others regarding exclusion.



    (a) HHS will give notice of the exclusion and the effective date to 

the public, to beneficiaries (in accordance with Sec.  1001.1901(c)), 

and, as appropriate, to--

    (1) Any entity in which the excluded individual is known to be 

serving as an employee, administrator, operator, or in which the 

individual is serving in any other capacity and is receiving payment for 

providing services (The lack of this notice will not affect CMS's 

ability to deny payment for services);

    (2) State Medicaid Fraud Control Units;

    (3) Utilization and Quality Control Quality Improvement 

Organizations;

    (4) Hospitals, skilled nursing facilities, home health agencies and 

health maintenance organizations;

    (5) Medical societies and other professional organizations;

    (6) Contractors, health care prepayment plans, private insurance 

companies and other affected agencies and organizations;

    (7) The State and Area Agencies on Aging established under title III 

of the Older Americans Act;

    (8) The National Practitioner Data Bank.

    (9) Other Departmental operating divisions, Federal agencies, and 

other agencies or organizations, as appropriate.

    (b) In the case of an exclusion under Sec.  1001.101 of this 

chapter, if section 304(a)(5) of the Controlled Substances Act (21 

U.S.C. 824(a)(5)) applies, HHS will give notice to the Attorney General 

of the United States of the facts and circumstances of the exclusion and 

the length of the exclusion.



[57 FR 3330, Jan. 29, 1992, as amended at 63 FR 46690, Sept. 2, 1998]