5 CFR 890.1046 - Effect of debarment or suspension on payments for services furnished in emergency situations.

Code of Federal Regulations - Title 5: Administrative Personnel

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Title 5: Administrative Personnel

CHAPTER I: OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)

SUBCHAPTER B: CIVIL SERVICE REGULATIONS (CONTINUED)

PART 890: FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM

Subpart J: Administrative Sanctions Imposed Against Health Care Providers

: Exceptions to the Effect of Debarments

890.1046 - Effect of debarment or suspension on payments for services furnished in emergency situations.

A debarred or suspended health care provider may receive FEHBP funds paid for items or services furnished on an emergency basis if the FEHBP carrier serving the covered individual determines that:

(a) The provider's treatment was essential to the health and safety of the covered individual; and

(b) No other source of equivalent treatment was reasonably available.

[69 FR 9920, Mar. 3, 2004]

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