[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR402.205]

[Page 36-37]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 402_CIVIL MONEY PENALTIES, ASSESSMENTS, AND EXCLUSIONS--Table of 
Contents
 
                          Subpart C_Exclusions
 
Sec.  402.205  Length of exclusion.

    The length of exclusion from participation in Medicare, Medicaid, 
and, where applicable, other Federal health care programs, is contingent 
upon the specific violation of the Medicare statute. A full description 
of the specific violations identified in the sections of the Act are 
cross-referenced in the regulatory sections listed in the table in 
paragraph (a) of this section.
    (a) In no event will the period of exclusion exceed 5 years for 
violation of the following sections of the Act:

------------------------------------------------------------------------
                                           Code of Federal Regulations
     Social Security Act  paragraph                  section
------------------------------------------------------------------------
1833(h)(5)(D) in repeated cases........  Sec.  402.1(c)(1)
1833(q)(2)(B) in repeated cases........  Sec.  402.1(c)(3)
1834(a)(11)(A).........................  Sec.  402.1(c)(4)
1834(a)(18)(B).........................  Sec.  402.1(c)(5)
1834(b)(5)(C)..........................  Sec.  402.1(c)(6)
1834(c)(4)(C)..........................  Sec.  402.1(c)(7)
1834(h)(3).............................  Sec.  402.1(c)(8)
1834(j)(4).............................  Sec.  402.1(c)(10)
1834(k)(6).............................  Sec.  402.1(c)(31)
1834(l)(6).............................  Sec.  402.1(c)(32)
1842(b)(18)(B).........................  Sec.  402.1(c)(11)
1842(k)................................  Sec.  402.1(c)(12)
1842(l)(3).............................  Sec.  402.1(c)(13)
1842(m)(3).............................  Sec.  402.1(c)(14)
1842(n)(3).............................  Sec.  402.1(c)(15)
1842(p)(3)(B) in repeated cases........  Sec.  402.1(c)(16)
1848(g)(1)(B) in repeated cases........  Sec.  402.1(c)(17)
1848(g)(3)(B)..........................  Sec.  402.1(c)(18)
1848(g)(4)(B)(ii) in repeated cases....  Sec.  402.1(c)(19)
1879(h)................................  Sec.  402.1(c)(23)
------------------------------------------------------------------------

    (b) For violation of the following sections, there is no maximum 
time limit for the period of exclusion.

[[Page 37]]



------------------------------------------------------------------------
                                           Code of Federal Regulations
     Social Security Act  paragraph                  section
------------------------------------------------------------------------
1834(a)(17)(c) for a pattern of          Sec.  402.1(e)(2)(i)
 contacts.
1834(h)(3) for a pattern of contacts...  Sec.  402.1(e)(2)(ii)
1877(g)(5).............................  Sec.  402.1(c)(22)
1882(a)(2).............................  Sec.  402.1(c)(24)
1882(p)(8).............................  Sec.  402.1(c)(25)
1882(p)(9)(C)..........................  Sec.  402.1(c)(26)
1882(q)(5)(C)..........................  Sec.  402.1(c)(27)
1882(r)(6)(A)..........................  Sec.  402.1(c)(28)
1882(s)(4).............................  Sec.  402.1(c)(29)
1882(t)(2).............................  Sec.  402.1(c)(30)
------------------------------------------------------------------------

    (c) For a person excluded under any of the grounds specified in 
paragraph (a) of this section, notwithstanding any other requirements in 
this section, reinstatement occurs--
    (1) At the expiration of the period of exclusion, if the exclusion 
was imposed for a period of 5 years; or
    (2) At the expiration of 5 years from the effective date of the 
exclusion, if the exclusion was imposed for a period of less than 5 
years and the initiating agency did not receive the appropriate written 
request for reinstatement as specified in Sec.  402.300.