Home/CFR/Title 42/Part 1001
FEDERAL · 42 CFR

Part 1001 — Program Integrity—Medicare and State Health Care Programs

38 sections · Title 42: Public Health

§ 1001.1Scope and purpose.
§ 1001.2Definitions.
§ 1001.101Basis for liability.
§ 1001.102Length of exclusion.
§ 1001.201Conviction relating to program or health care fraud.
§ 1001.301Conviction relating to obstruction of an investigation or audit.
§ 1001.401Conviction relating to controlled substances.
§ 1001.501License revocation or suspension.
§ 1001.601Exclusion or suspension under a Federal or State health care program.
§ 1001.701Excessive claims or furnishing of unnecessary or substandard items and services.
§ 1001.801Failure of HMOs and CMPs to furnish medically necessary items and services.
§ 1001.901False or improper claims.
§ 1001.951Fraud and kickbacks and other prohibited activities.
§ 1001.952Exceptions.
§ 1001.1001Exclusion of entities owned or controlled by a sanctioned person.
§ 1001.1101Failure to disclose certain information.
§ 1001.1201Failure to provide payment information.
§ 1001.1301Failure to grant immediate access.
§ 1001.1401Violations of PPS corrective action.
§ 1001.1501Default of health education loan or scholarship obligations.
§ 1001.1551Exclusion of individuals with ownership or control interest in sanctioned entities.
§ 1001.1552Making false statements or misrepresentation of material facts.
§ 1001.1601Violations of the limitations on physician charges.
§ 1001.1701Billing for services of assistant at surgery during cataract operations.
§ 1001.1801Waivers of exclusions.
§ 1001.1901Scope and effect of exclusion.
§ 1001.2001Notice of intent to exclude.
§ 1001.2002Notice of exclusion.
§ 1001.2003Notice of proposal to exclude.
§ 1001.2004Notice to State agencies.
§ 1001.2005Notice to State licensing agencies.
§ 1001.2006Notice to others regarding exclusion.
§ 1001.2007Appeal of exclusions.
§ 1001.3001Timing and method of request for reinstatement.
§ 1001.3002Basis for reinstatement.
§ 1001.3003Approval of request for reinstatement.
§ 1001.3004Denial of request for reinstatement.
§ 1001.3005Withdrawal of exclusion for reversed or vacated decisions.