CFR
- Title 1 - General Provisions
- Title 2 - Grants and Agreements
- Title 3 - The President
- Title 4 - Accounts
- Title 5 - Administrative Personnel
- Title 6 - Domestic Security
- Title 7 - Agriculture
- Title 8 - Aliens and Nationality
- Title 9 - Animals and Animal Products
- Title 10 - Energy
- Title 11 - Federal Elections
- Title 12 - Banks and Banking
- Title 13 - Business Credit and Assistance
- Title 14 - Aeronautics and Space
- Title 15 - Commerce and Foreign Trade
- Title 16 - Commercial Practices
- Title 17 - Commodity and Securities Exchanges
- Title 18 - Conservation of Power and Water Resources
- Title 19 - Customs Duties
- Title 20 - Employees' Benefits
- Title 21 - Food and Drugs
- Title 22 - Foreign Relations
- Title 23 - Highways
- Title 24 - Housing and Urban Development
- Title 25 - Indians
- Title 26 - Internal Revenue
- Title 27 - Alcohol, Tobacco Products and Firearms
- Title 28 - Judicial Administration
- Title 29 - Labor
- Title 30 - Mineral Resources
- Title 31 - Money and Finance: Treasury
- Title 32 - National Defense
- Title 33 - Navigation and Navigable Waters
- Title 34 - Education
- Title 35 - Panama Canal
- Title 36 - Parks, Forests, and Public Property
- Title 37 - Patents, Trademarks, and Copyrights
- Title 38 - Pensions, Bonuses, and Veterans' Relief
- Title 39 - Postal Service
- Title 40 - Protection of Environment
- Title 41 - Public Contracts and Property Management
- Title 42 - Public Health
- Title 43 - Public Lands: Interior
- Title 44 - Emergency Management and Assistance
- Title 45 - Public Welfare
- Title 46 - Shipping
- Title 47 - Telecommunication
- Title 48 - Federal Acquisition Regulations System
- Title 49 - Transportation
- Title 50 - Wildlife and Fisheries
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:
| Social Security Actparagraph | Code of Federal Regulationssection |
|---|---|
| 1833(h)(5)(D) in repeated cases | § 402.1(c)(1) |
| 1833(q)(2)(B) in repeated cases | § 402.1(c)(3) |
| 1834(a)(11)(A) | § 402.1(c)(4) |
| 1834(a)(18)(B) | § 402.1(c)(5) |
| 1834(b)(5)(C) | § 402.1(c)(6) |
| 1834(c)(4)(C) | § 402.1(c)(7) |
| 1834(h)(3) | § 402.1(c)(8) |
| 1834(j)(4) | § 402.1(c)(10) |
| 1834(k)(6) | § 402.1(c)(31) |
| 1834(l)(6) | § 402.1(c)(32) |
| 1842(b)(18)(B) | § 402.1(c)(11) |
| 1842(k) | § 402.1(c)(12) |
| 1842(l)(3) | § 402.1(c)(13) |
| 1842(m)(3) | § 402.1(c)(14) |
| 1842(n)(3) | § 402.1(c)(15) |
| 1842(p)(3)(B) in repeated cases | § 402.1(c)(16) |
| 1848(g)(1)(B) in repeated cases | § 402.1(c)(17) |
| 1848(g)(3)(B) | § 402.1(c)(18) |
| 1848(g)(4)(B)(ii) in repeated cases | § 402.1(c)(19) |
| 1879(h) | § 402.1(c)(23) |
(b)
For violation of the following sections, there is no maximum time limit for the period of exclusion.
| Social Security Actparagraph | Code of Federal Regulationssection |
|---|---|
| 1834(a)(17)(c) for a pattern of contacts | § 402.1(e)(2)(i) |
| 1834(h)(3) for a pattern of contacts | § 402.1(e)(2)(ii) |
| 1877(g)(5) | § 402.1(c)(22) |
| 1882(a)(2) | § 402.1(c)(24) |
| 1882(p)(8) | § 402.1(c)(25) |
| 1882(p)(9)(C) | § 402.1(c)(26) |
| 1882(q)(5)(C) | § 402.1(c)(27) |
| 1882(r)(6)(A) | § 402.1(c)(28) |
| 1882(s)(4) | § 402.1(c)(29) |
| 1882(t)(2) | § 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 § 402.300.
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