[Code of Federal Regulations]

[Title 45, Volume 1]

[Revised as of October 1, 2006]

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

[CITE: 45CFR61.11]



[Page 156]

 

                        TITLE 45--PUBLIC WELFARE

 

                    SUBTITLE A--DEPARTMENT OF HEALTH

                           AND HUMAN SERVICES

 

PART 61_HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL ADVERSE 

INFORMATION ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS--Table 

of Contents

 

                   Subpart B_Reporting of Information

 

Sec.  61.11  Reporting other adjudicated actions or decisions.



    (a) Who must report. Federal and State governmental agencies and 

health plans must report other adjudicated actions or decisions as 

defined in Sec.  61.3 related to the delivery, payment or provision of a 

health care item or service against health care providers, suppliers, 

and practitioners (regardless of whether the other adjudicated action or 

decision is subject to a pending appeal).

    (b) Entities described in paragraph (a) of this section must report 

the information as required in Sec.  61.10(b).

    (c) Entities described in paragraph (a) of this section should 

report, if known the information as described in Sec.  61.10(c).

    (d) Sanctions for failure to report. Any health plan that fails to 

report information on an other adjudicated action or decision required 

to be reported under this section will be subject to a civil money 

penalty (CMP) of not more than $25,000 for each such action not 

reported. Such penalty will be imposed and collected in the same manner 

as CMPs under subsection (a) of section 1128A of the Act. The Secretary 

will provide for publication of a public report that identifies those 

Government agencies that have failed to report information on other 

adjudicated actions as required to be reported under this section.