[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: 42CFR1001.3001]



[Page 1167]

 

                         TITLE 42--PUBLIC HEALTH

 

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

 

PART 1001_PROGRAM INTEGRITY_MEDICARE AND STATE HEALTH CARE PROGRAMS--

 

                Subpart F_Reinstatement into the Programs

 

Sec.  1001.3001  Timing and method of request for reinstatement.





    (a)(1) Except as provided in paragraphs (a)(2) and (a)(3) of this 

section or in Sec.  1001.501(b)(4) of this part, an excluded individual 

or entity (other than those excluded in accordance with Sec. Sec.  

1001.1001 and 1001.1501) may submit a written request for reinstatement 

to the OIG only after the date specified in the notice of exclusion. 

Obtaining a program provider number or equivalent does not reinstate 

eligibility.

    (2) An entity under Sec.  1001.1001 may apply for reinstatement 

prior to the date specified in the notice of exclusion by submitting a 

written request for reinstatement that includes documentation 

demonstrating that the standards set forth in Sec.  1001.3002(c) have 

been met.

    (3) Upon receipt of a written request, the OIG will require the 

requestor to furnish specific information and authorization to obtain 

information from private health insurers, peer review bodies, probation 

officers, professional associates, investigative agencies and such 

others as may be necessary to determine whether reinstatement should be 

granted.

    (4) Failure to furnish the required information or authorization 

will result in the continuation of the exclusion.

    (b) If a period of exclusion is reduced on appeal (regardless of 

whether further appeal is pending), the individual or entity may request 

reinstatement once the reduced exclusion period expires.



[57 FR 3330, Jan. 29, 1992, as amended at 63 FR 46691, Sept. 2, 1998]