42:5.0.2.5.2 | PART 1001
| PART 1001 - PROGRAM INTEGRITY - MEDICARE AND STATE HEALTH CARE PROGRAMS | |
42:5.0.2.5.2.1 | SUBPART A
| Subpart A - General Provisions | |
42:5.0.2.5.2.1.69.1 | SECTION 1001.1
| 1001.1 Scope and purpose. | |
42:5.0.2.5.2.1.69.2 | SECTION 1001.2
| 1001.2 Definitions. | |
42:5.0.2.5.2.2 | SUBPART B
| Subpart B - Mandatory Exclusions | |
42:5.0.2.5.2.2.69.1 | SECTION 1001.101
| 1001.101 Basis for liability. | |
42:5.0.2.5.2.2.69.2 | SECTION 1001.102
| 1001.102 Length of exclusion. | |
42:5.0.2.5.2.3 | SUBPART C
| Subpart C - Permissive Exclusions | |
42:5.0.2.5.2.3.69.1 | SECTION 1001.201
| 1001.201 Conviction relating to program or health care fraud. | |
42:5.0.2.5.2.3.69.2 | SECTION 1001.301
| 1001.301 Conviction relating to obstruction of an investigation or audit. | |
42:5.0.2.5.2.3.69.3 | SECTION 1001.401
| 1001.401 Conviction relating to controlled substances. | |
42:5.0.2.5.2.3.69.4 | SECTION 1001.501
| 1001.501 License revocation or suspension. | |
42:5.0.2.5.2.3.69.5 | SECTION 1001.601
| 1001.601 Exclusion or suspension under a Federal or State health care program. | |
42:5.0.2.5.2.3.69.6 | SECTION 1001.701
| 1001.701 Excessive claims or furnishing of unnecessary or substandard items and services. | |
42:5.0.2.5.2.3.69.7 | SECTION 1001.801
| 1001.801 Failure of HMOs and CMPs to furnish medically necessary items and services. | |
42:5.0.2.5.2.3.69.8 | SECTION 1001.901
| 1001.901 False or improper claims. | |
42:5.0.2.5.2.3.69.9 | SECTION 1001.951
| 1001.951 Fraud and kickbacks and other prohibited activities. | |
42:5.0.2.5.2.3.69.10 | SECTION 1001.952
| 1001.952 Exceptions. | |
42:5.0.2.5.2.3.69.11 | SECTION 1001.1001
| 1001.1001 Exclusion of entities owned or controlled by a sanctioned person. | |
42:5.0.2.5.2.3.69.12 | SECTION 1001.1101
| 1001.1101 Failure to disclose certain information. | |
42:5.0.2.5.2.3.69.13 | SECTION 1001.1201
| 1001.1201 Failure to provide payment information. | |
42:5.0.2.5.2.3.69.14 | SECTION 1001.1301
| 1001.1301 Failure to grant immediate access. | |
42:5.0.2.5.2.3.69.15 | SECTION 1001.1401
| 1001.1401 Violations of PPS corrective action. | |
42:5.0.2.5.2.3.69.16 | SECTION 1001.1501
| 1001.1501 Default of health education loan or scholarship obligations. | |
42:5.0.2.5.2.3.69.17 | SECTION 1001.1551
| 1001.1551 Exclusion of individuals with ownership or control interest in sanctioned entities. | |
42:5.0.2.5.2.3.69.18 | SECTION 1001.1552
| 1001.1552 Making false statements or misrepresentation of material facts. | |
42:5.0.2.5.2.3.69.19 | SECTION 1001.1601
| 1001.1601 Violations of the limitations on physician charges. | |
42:5.0.2.5.2.3.69.20 | SECTION 1001.1701
| 1001.1701 Billing for services of assistant at surgery during cataract operations. | |
42:5.0.2.5.2.3.69.21.1 | APPENDIX Appendix A
| Appendix A to Subpart C of Part 1001 | |
42:5.0.2.5.2.4 | SUBPART D
| Subpart D - Waivers and Effect of Exclusion | |
42:5.0.2.5.2.4.69.1 | SECTION 1001.1801
| 1001.1801 Waivers of exclusions. | |
42:5.0.2.5.2.4.69.2 | SECTION 1001.1901
| 1001.1901 Scope and effect of exclusion. | |
42:5.0.2.5.2.5 | SUBPART E
| Subpart E - Notice and Appeals | |
42:5.0.2.5.2.5.69.1 | SECTION 1001.2001
| 1001.2001 Notice of intent to exclude. | |
42:5.0.2.5.2.5.69.2 | SECTION 1001.2002
| 1001.2002 Notice of exclusion. | |
42:5.0.2.5.2.5.69.3 | SECTION 1001.2003
| 1001.2003 Notice of proposal to exclude. | |
42:5.0.2.5.2.5.69.4 | SECTION 1001.2004
| 1001.2004 Notice to State agencies. | |
42:5.0.2.5.2.5.69.5 | SECTION 1001.2005
| 1001.2005 Notice to State licensing agencies. | |
42:5.0.2.5.2.5.69.6 | SECTION 1001.2006
| 1001.2006 Notice to others regarding exclusion. | |
42:5.0.2.5.2.5.69.7 | SECTION 1001.2007
| 1001.2007 Appeal of exclusions. | |
42:5.0.2.5.2.6 | SUBPART F
| Subpart F - Reinstatement into the Programs | |
42:5.0.2.5.2.6.69.1 | SECTION 1001.3001
| 1001.3001 Timing and method of request for reinstatement. | |
42:5.0.2.5.2.6.69.2 | SECTION 1001.3002
| 1001.3002 Basis for reinstatement. | |
42:5.0.2.5.2.6.69.3 | SECTION 1001.3003
| 1001.3003 Approval of request for reinstatement. | |
42:5.0.2.5.2.6.69.4 | SECTION 1001.3004
| 1001.3004 Denial of request for reinstatement. | |
42:5.0.2.5.2.6.69.5 | SECTION 1001.3005
| 1001.3005 Withdrawal of exclusion for reversed or vacated decisions. | |
42:5.0.2.5.3 | PART 1002
| PART 1002 - PROGRAM INTEGRITY - STATE-INITIATED EXCLUSIONS FROM MEDICAID | |
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. | |
42:5.0.2.5.4 | PART 1003
| PART 1003 - CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS | |
42:5.0.2.5.4.1 | SUBPART A
| Subpart A - General Provisions | |
42:5.0.2.5.4.1.69.1 | SECTION 1003.100
| 1003.100 Basis and purpose. | |
42:5.0.2.5.4.1.69.2 | SECTION 1003.110
| 1003.110 Definitions. | |
42:5.0.2.5.4.1.69.3 | SECTION 1003.120
| 1003.120 Liability for penalties and assessments. | |
42:5.0.2.5.4.1.69.4 | SECTION 1003.130
| 1003.130 Assessments. | |
42:5.0.2.5.4.1.69.5 | SECTION 1003.140
| 1003.140 Determinations regarding the amount of penalties and assessments and the period of exclusion. | |
42:5.0.2.5.4.1.69.6 | SECTION 1003.150
| 1003.150 Delegation of authority. | |
42:5.0.2.5.4.1.69.7 | SECTION 1003.160
| 1003.160 Waiver of exclusion. | |
42:5.0.2.5.4.2 | SUBPART B
| Subpart B - CMPs, Assessments, and Exclusions for False or Fraudulent Claims and Other Similar Misconduct | |
42:5.0.2.5.4.2.69.1 | SECTION 1003.200
| 1003.200 Basis for civil money penalties, assessments, and exclusions. | |
42:5.0.2.5.4.2.69.2 | SECTION 1003.210
| 1003.210 Amount of penalties and assessments. | |
42:5.0.2.5.4.2.69.3 | SECTION 1003.220
| 1003.220 Determinations regarding the amount of penalties and assessments and the period of exclusion. | |
42:5.0.2.5.4.3 | SUBPART C
| Subpart C - CMPs, Assessments, and Exclusions for Anti-Kickback and Physician Self-Referral Violations | |
42:5.0.2.5.4.3.69.1 | SECTION 1003.300
| 1003.300 Basis for civil money penalties, assessments, and exclusions. | |
42:5.0.2.5.4.3.69.2 | SECTION 1003.310
| 1003.310 Amount of penalties and assessments. | |
42:5.0.2.5.4.3.69.3 | SECTION 1003.320
| 1003.320 Determinations regarding the amount of penalties and assessments and the period of exclusion. | |
42:5.0.2.5.4.4 | SUBPART D
| Subpart D - CMPs and Assessments for Contracting Organization Misconduct | |
42:5.0.2.5.4.4.69.1 | SECTION 1003.400
| 1003.400 Basis for civil money penalties and assessments. | |
42:5.0.2.5.4.4.69.2 | SECTION 1003.410
| 1003.410 Amount of penalties and assessments for Contracting Organization. | |
42:5.0.2.5.4.4.69.3 | SECTION 1003.420
| 1003.420 Determinations regarding the amount of penalties and assessments. | |
42:5.0.2.5.4.5 | SUBPART E
| Subpart E - CMPs and Exclusions for EMTALA Violations | |
42:5.0.2.5.4.5.69.1 | SECTION 1003.500
| 1003.500 Basis for civil money penalties and exclusions. | |
42:5.0.2.5.4.5.69.2 | SECTION 1003.510
| 1003.510 Amount of penalties. | |
42:5.0.2.5.4.5.69.3 | SECTION 1003.520
| 1003.520 Determinations regarding the amount of penalties and the period of exclusion. | |
42:5.0.2.5.4.6 | SUBPART F
| Subpart F - CMPs for Section 1140 Violations | |
42:5.0.2.5.4.6.69.1 | SECTION 1003.600
| 1003.600 Basis for civil money penalties. | |
42:5.0.2.5.4.6.69.2 | SECTION 1003.610
| 1003.610 Amount of penalties. | |
42:5.0.2.5.4.6.69.3 | SECTION 1003.620
| 1003.620 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.7 | SUBPART G
| Subpart G [Reserved] | |
42:5.0.2.5.4.8 | SUBPART H
| Subpart H - CMPs for Adverse Action Reporting and Disclosure Violations | |
42:5.0.2.5.4.8.69.1 | SECTION 1003.800
| 1003.800 Basis for civil money penalties. | |
42:5.0.2.5.4.8.69.2 | SECTION 1003.810
| 1003.810 Amount of penalties. | |
42:5.0.2.5.4.8.69.3 | SECTION 1003.820
| 1003.820 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.9 | SUBPART I
| Subpart I - CMPs for Select Agent Program Violations | |
42:5.0.2.5.4.9.69.1 | SECTION 1003.900
| 1003.900 Basis for civil money penalties. | |
42:5.0.2.5.4.9.69.2 | SECTION 1003.910
| 1003.910 Amount of penalties. | |
42:5.0.2.5.4.9.69.3 | SECTION 1003.920
| 1003.920 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.10 | SUBPART J
| Subpart J - CMPs, Assessments, and Exclusions for Beneficiary Inducement Violations | |
42:5.0.2.5.4.10.69.1 | SECTION 1003.1000
| 1003.1000 Basis for civil money penalties, assessments, and exclusions. | |
42:5.0.2.5.4.10.69.2 | SECTION 1003.1010
| 1003.1010 Amount of penalties and assessments. | |
42:5.0.2.5.4.10.69.3 | SECTION 1003.1020
| 1003.1020 Determinations regarding the amount of penalties and assessments and the period of exclusion. | |
42:5.0.2.5.4.11 | SUBPART K
| Subpart K - CMPs for the Sale of Medicare Supplemental Policies | |
42:5.0.2.5.4.11.69.1 | SECTION 1003.1100
| 1003.1100 Basis for civil money penalties. | |
42:5.0.2.5.4.11.69.2 | SECTION 1003.1110
| 1003.1110 Amount of penalties. | |
42:5.0.2.5.4.11.69.3 | SECTION 1003.1120
| 1003.1120 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.12 | SUBPART L
| Subpart L - CMPs for Drug Price Reporting | |
42:5.0.2.5.4.12.69.1 | SECTION 1003.1200
| 1003.1200 Basis for civil money penalties. | |
42:5.0.2.5.4.12.69.2 | SECTION 1003.1210
| 1003.1210 Amount of penalties. | |
42:5.0.2.5.4.12.69.3 | SECTION 1003.1220
| 1003.1220 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.13 | SUBPART M
| Subpart M - CMPs for Notifying a Skilled Nursing Facility, Nursing Facility, Home Health Agency, or Community Care Setting of a Survey | |
42:5.0.2.5.4.13.69.1 | SECTION 1003.1300
| 1003.1300 Basis for civil money penalties. | |
42:5.0.2.5.4.13.69.2 | SECTION 1003.1310
| 1003.1310 Amount of penalties. | |
42:5.0.2.5.4.13.69.3 | SECTION 1003.1320
| 1003.1320 Determinations regarding the amount of penalties. | |
42:5.0.2.5.4.14 | SUBPART N
| Subpart N [Reserved] | |
42:5.0.2.5.4.15 | SUBPART O
| Subpart O - Procedures for the Imposition of CMPs, Assessments, and Exclusions | |
42:5.0.2.5.4.15.69.1 | SECTION 1003.1500
| 1003.1500 Notice of proposed determination. | |
42:5.0.2.5.4.15.69.2 | SECTION 1003.1510
| 1003.1510 Failure to request a hearing. | |
42:5.0.2.5.4.15.69.3 | SECTION 1003.1520
| 1003.1520 Collateral estoppel. | |
42:5.0.2.5.4.15.69.4 | SECTION 1003.1530
| 1003.1530 Settlement. | |
42:5.0.2.5.4.15.69.5 | SECTION 1003.1540
| 1003.1540 Judicial review. | |
42:5.0.2.5.4.15.69.6 | SECTION 1003.1550
| 1003.1550 Collection of penalties and assessments. | |
42:5.0.2.5.4.15.69.7 | SECTION 1003.1560
| 1003.1560 Notice to other agencies. | |
42:5.0.2.5.4.15.69.8 | SECTION 1003.1570
| 1003.1570 Limitations. | |
42:5.0.2.5.4.15.69.9 | SECTION 1003.1580
| 1003.1580 Statistical sampling. | |
42:5.0.2.5.4.15.69.10 | SECTION 1003.1590
| 1003.1590 Effect of exclusion. | |
42:5.0.2.5.4.15.69.11 | SECTION 1003.1600
| 1003.1600 Reinstatement. | |
42:5.0.2.5.5 | PART 1004
| PART 1004 - IMPOSITION OF SANCTIONS ON HEALTH CARE PRACTITIONERS AND PROVIDERS OF HEALTH CARE SERVICES BY A QUALITY IMPROVEMENT ORGANIZATION | |
42:5.0.2.5.5.1 | SUBPART A
| Subpart A - General Provisions | |
42:5.0.2.5.5.1.69.1 | SECTION 1004.1
| 1004.1 Scope and definitions. | |
42:5.0.2.5.5.2 | SUBPART B
| Subpart B - Sanctions Under the QIO Program; General Provisions | |
42:5.0.2.5.5.2.69.1 | SECTION 1004.10
| 1004.10 Statutory obligations of practitioners and other persons. | |
42:5.0.2.5.5.2.69.2 | SECTION 1004.20
| 1004.20 Sanctions. | |
42:5.0.2.5.5.3 | SUBPART C
| Subpart C - QIO Responsibilities | |
42:5.0.2.5.5.3.69.1 | SECTION 1004.30
| 1004.30 Basic responsibilities. | |
42:5.0.2.5.5.3.69.2 | SECTION 1004.40
| 1004.40 Action on identification of a violation. | |
42:5.0.2.5.5.3.69.3 | SECTION 1004.50
| 1004.50 Meeting with a practitioner or other person. | |
42:5.0.2.5.5.3.69.4 | SECTION 1004.60
| 1004.60 QIO finding of a violation. | |
42:5.0.2.5.5.3.69.5 | SECTION 1004.70
| 1004.70 QIO action on final finding of a violation. | |
42:5.0.2.5.5.3.69.6 | SECTION 1004.80
| 1004.80 QIO report to the OIG. | |
42:5.0.2.5.5.3.69.7 | SECTION 1004.90
| 1004.90 Basis for recommended sanction. | |
42:5.0.2.5.5.4 | SUBPART D
| Subpart D - OIG Responsibilities | |
42:5.0.2.5.5.4.69.1 | SECTION 1004.100
| 1004.100 Acknowledgement and review of report. | |
42:5.0.2.5.5.4.69.2 | SECTION 1004.110
| 1004.110 Notice of sanction. | |
42:5.0.2.5.5.5 | SUBPART E
| Subpart E - Effect and Duration of Exclusion | |
42:5.0.2.5.5.5.69.1 | SECTION 1004.120
| 1004.120 Effect of an exclusion on program payments and services. | |
42:5.0.2.5.5.5.69.2 | SECTION 1004.130
| 1004.130 Reinstatement after exclusion. | |
42:5.0.2.5.5.6 | SUBPART F
| Subpart F - Appeals | |
42:5.0.2.5.5.6.69.1 | SECTION 1004.140
| 1004.140 Appeal rights. | |
42:5.0.2.5.6 | PART 1005
| PART 1005 - APPEALS OF EXCLUSIONS, CIVIL MONEY PENALTIES AND ASSESSMENTS | |
42:5.0.2.5.6.0.69.1 | SECTION 1005.1
| 1005.1 Definitions. | |
42:5.0.2.5.6.0.69.2 | SECTION 1005.2
| 1005.2 Hearing before an administrative law judge. | |
42:5.0.2.5.6.0.69.3 | SECTION 1005.3
| 1005.3 Rights of parties. | |
42:5.0.2.5.6.0.69.4 | SECTION 1005.4
| 1005.4 Authority of the ALJ. | |
42:5.0.2.5.6.0.69.5 | SECTION 1005.5
| 1005.5 Ex parte contacts. | |
42:5.0.2.5.6.0.69.6 | SECTION 1005.6
| 1005.6 Prehearing conferences. | |
42:5.0.2.5.6.0.69.7 | SECTION 1005.7
| 1005.7 Discovery. | |
42:5.0.2.5.6.0.69.8 | SECTION 1005.8
| 1005.8 Exchange of witness lists, witness statements and exhibits. | |
42:5.0.2.5.6.0.69.9 | SECTION 1005.9
| 1005.9 Subpoenas for attendance at hearing. | |
42:5.0.2.5.6.0.69.10 | SECTION 1005.10
| 1005.10 Fees. | |
42:5.0.2.5.6.0.69.11 | SECTION 1005.11
| 1005.11 Form, filing and service of papers. | |
42:5.0.2.5.6.0.69.12 | SECTION 1005.12
| 1005.12 Computation of time. | |
42:5.0.2.5.6.0.69.13 | SECTION 1005.13
| 1005.13 Motions. | |
42:5.0.2.5.6.0.69.14 | SECTION 1005.14
| 1005.14 Sanctions. | |
42:5.0.2.5.6.0.69.15 | SECTION 1005.15
| 1005.15 The hearing and burden of proof. | |
42:5.0.2.5.6.0.69.16 | SECTION 1005.16
| 1005.16 Witnesses. | |
42:5.0.2.5.6.0.69.17 | SECTION 1005.17
| 1005.17 Evidence. | |
42:5.0.2.5.6.0.69.18 | SECTION 1005.18
| 1005.18 The record. | |
42:5.0.2.5.6.0.69.19 | SECTION 1005.19
| 1005.19 Post-hearing briefs. | |
42:5.0.2.5.6.0.69.20 | SECTION 1005.20
| 1005.20 Initial decision. | |
42:5.0.2.5.6.0.69.21 | SECTION 1005.21
| 1005.21 Appeal to DAB. | |
42:5.0.2.5.6.0.69.22 | SECTION 1005.22
| 1005.22 Stay of initial decision. | |
42:5.0.2.5.6.0.69.23 | SECTION 1005.23
| 1005.23 Harmless error. | |
42:5.0.2.5.7 | PART 1006
| PART 1006 - INVESTIGATIONAL INQUIRIES | |
42:5.0.2.5.7.0.69.1 | SECTION 1006.1
| 1006.1 Scope. | |
42:5.0.2.5.7.0.69.2 | SECTION 1006.2
| 1006.2 Contents of subpoena. | |
42:5.0.2.5.7.0.69.3 | SECTION 1006.3
| 1006.3 Service and fees. | |
42:5.0.2.5.7.0.69.4 | SECTION 1006.4
| 1006.4 Procedures for investigational inquiries. | |
42:5.0.2.5.7.0.69.5 | SECTION 1006.5
| 1006.5 Enforcement of a subpoena. | |
42:5.0.2.5.8 | PART 1007
| PART 1007 - STATE MEDICAID FRAUD CONTROL UNITS | |
42:5.0.2.5.8.1 | SUBPART A
| Subpart A - General Provisions and Definitions | |
42:5.0.2.5.8.1.69.1 | SECTION 1007.1
| 1007.1 Definitions. | |
42:5.0.2.5.8.1.69.2 | SECTION 1007.3
| 1007.3 Statutory basis and organization of rule. | |
42:5.0.2.5.8.2 | SUBPART B
| Subpart B - Requirements for Certification | |
42:5.0.2.5.8.2.69.1 | SECTION 1007.5
| 1007.5 Single, identifiable entity requirements of Unit. | |
42:5.0.2.5.8.2.69.2 | SECTION 1007.7
| 1007.7 Prosecutorial authority requirements of Unit. | |
42:5.0.2.5.8.2.69.3 | SECTION 1007.9
| 1007.9 Relationship and agreement between Unit and Medicaid agency. | |
42:5.0.2.5.8.2.69.4 | SECTION 1007.11
| 1007.11 Duties and responsibilities of Unit. | |
42:5.0.2.5.8.2.69.5 | SECTION 1007.13
| 1007.13 Staffing requirements of Unit. | |
42:5.0.2.5.8.2.69.6 | SECTION 1007.15
| 1007.15 Establishment and certification of Unit. | |
42:5.0.2.5.8.2.69.7 | SECTION 1007.17
| 1007.17 Annual recertification of Unit. | |
42:5.0.2.5.8.3 | SUBPART C
| Subpart C - Federal Financial Participation (FFP) | |
42:5.0.2.5.8.3.69.1 | SECTION 1007.19
| 1007.19 FFP rate and eligible FFP costs. | |
42:5.0.2.5.8.3.69.2 | SECTION 1007.20
| 1007.20 Circumstances of permissible data mining. | |
42:5.0.2.5.8.3.69.3 | SECTION 1007.21
| 1007.21 Disallowance of claims for FFP. | |
42:5.0.2.5.8.4 | SUBPART D
| Subpart D - Other Provisions | |
42:5.0.2.5.8.4.69.1 | SECTION 1007.23
| 1007.23 Other applicable HHS regulations. | |
42:5.0.2.5.9 | PART 1008
| PART 1008 - ADVISORY OPINIONS BY THE OIG | |
42:5.0.2.5.9.1 | SUBPART A
| Subpart A - General Provisions | |
42:5.0.2.5.9.1.69.1 | SECTION 1008.1
| 1008.1 Basis and purpose. | |
42:5.0.2.5.9.1.69.2 | SECTION 1008.3
| 1008.3 Effective period. | |
42:5.0.2.5.9.1.69.3 | SECTION 1008.5
| 1008.5 Matters subject to advisory opinions. | |
42:5.0.2.5.9.2 | SUBPART B
| Subpart B - Preliminary Obligations and Responsibilities of the Requesting Party | |
42:5.0.2.5.9.2.69.1 | SECTION 1008.11
| 1008.11 Who may submit a request. | |
42:5.0.2.5.9.2.69.2 | SECTION 1008.15
| 1008.15 Facts subject to advisory opinions. | |
42:5.0.2.5.9.2.69.3 | SECTION 1008.18
| 1008.18 Preliminary questions suggested for the requesting party. | |
42:5.0.2.5.9.3 | SUBPART C
| Subpart C - Advisory Opinion Fees | |
42:5.0.2.5.9.3.69.1 | SECTION 1008.31
| 1008.31 OIG fees for the cost of advisory opinions. | |
42:5.0.2.5.9.3.69.2 | SECTION 1008.33
| 1008.33 Expert opinions from outside sources. | |
42:5.0.2.5.9.4 | SUBPART D
| Subpart D - Submission of a Formal Request for an Advisory Opinion | |
42:5.0.2.5.9.4.69.1 | SECTION 1008.36
| 1008.36 Submission of a request. | |
42:5.0.2.5.9.4.69.2 | SECTION 1008.37
| 1008.37 Disclosure of ownership and related information. | |
42:5.0.2.5.9.4.69.3 | SECTION 1008.38
| 1008.38 Signed certifications by the requestor. | |
42:5.0.2.5.9.4.69.4 | SECTION 1008.39
| 1008.39 Additional information. | |
42:5.0.2.5.9.4.69.5 | SECTION 1008.40
| 1008.40 Withdrawal. | |
42:5.0.2.5.9.5 | SUBPART E
| Subpart E - Obligations and Responsibilities of the OIG | |
42:5.0.2.5.9.5.69.1 | SECTION 1008.41
| 1008.41 OIG acceptance of the request. | |
42:5.0.2.5.9.5.69.2 | SECTION 1008.43
| 1008.43 Issuance of a formal advisory opinion. | |
42:5.0.2.5.9.5.69.3 | SECTION 1008.45
| 1008.45 Rescission, termination or modification. | |
42:5.0.2.5.9.5.69.4 | SECTION 1008.47
| 1008.47 Disclosure. | |
42:5.0.2.5.9.6 | SUBPART F
| Subpart F - Scope and Effect of OIG Advisory Opinions | |
42:5.0.2.5.9.6.69.1 | SECTION 1008.51
| 1008.51 Exclusivity of OIG advisory opinions. | |
42:5.0.2.5.9.6.69.2 | SECTION 1008.53
| 1008.53 Affected parties. | |
42:5.0.2.5.9.6.69.3 | SECTION 1008.55
| 1008.55 Admissibility of evidence. | |
42:5.0.2.5.9.6.69.4 | SECTION 1008.59
| 1008.59 Range of the advisory opinion. | |
42:5.0.2.5.10 | PART 1009-1099
| PARTS 1009-1099 [RESERVED] | |