Title 42

PART 1002

Part 1002 - Program Integrity - State-initiated Exclusions From Medicaid

PART 1002 - PROGRAM INTEGRITY - STATE-INITIATED EXCLUSIONS FROM MEDICAID Authority:42 U.S.C. 1302, 1320a-3, 1320a-5, 1320a-7, 1396(a)(4)(A), 1396a(p), 1396a(a)(39), 1396a(a)(41), and 1396b(i)(2). Source:57 FR 3343, Jan. 29, 1992, unless otherwise noted.

• Authority: 42 U.S.C. 1302, 1320a-3, 1320a-5, 1320a-7, 1396(a)(4)(A), 1396a(p), 1396a(a)(39), 1396a(a)(41), and 1396b(i)(2).
• Source: 57 FR 3343, Jan. 29, 1992, unless otherwise noted.

42:5.0.2.5.3.1	SUBPART A	Subpart A - General Provisions
42:5.0.2.5.3.1.69.1	SECTION 1002.1	1002.1 Basis and scope.
42:5.0.2.5.3.1.69.2	SECTION 1002.2	1002.2 Other applicable regulations.
42:5.0.2.5.3.1.69.3	SECTION 1002.3	1002.3 General authority.
42:5.0.2.5.3.1.69.4	SECTION 1002.4	1002.4 Disclosure by providers and State Medicaid agencies.
42:5.0.2.5.3.1.69.5	SECTION 1002.5	1002.5 State plan requirement.
42:5.0.2.5.3.1.69.6	SECTION 1002.6	1002.6 Payment prohibitions.
42:5.0.2.5.3.2	SUBPART B	Subpart B - State Exclusion of Certain Managed Care Entities
42:5.0.2.5.3.2.69.1	SECTION 1002.203	1002.203 State exclusion of certain managed care entities.
42:5.0.2.5.3.3	SUBPART C	Subpart C - Procedures for State-Initiated Exclusions
42:5.0.2.5.3.3.69.1	SECTION 1002.210	1002.210 General authority.
42:5.0.2.5.3.3.69.2	SECTION 1002.211	1002.211 [Reserved]
42:5.0.2.5.3.3.69.3	SECTION 1002.212	1002.212 State agency notifications.
42:5.0.2.5.3.3.69.4	SECTION 1002.213	1002.213 Appeals of exclusions.
42:5.0.2.5.3.3.69.5	SECTION 1002.214	1002.214 Basis for reinstatement after State agency-initiated exclusion.
42:5.0.2.5.3.3.69.6	SECTION 1002.215	1002.215 Action on request for reinstatement.
42:5.0.2.5.3.4	SUBPART D	Subpart D - Notification to OIG of State or Local Convictions of Crimes Against Medicaid
42:5.0.2.5.3.4.69.1	SECTION 1002.230	1002.230 Notification of State or local convictions of crimes against Medicaid.

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