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.

Code of Federal Regulations

[69 FR 9920, Mar. 3, 2004]

CFR

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

Code of Federal Regulations