42 CFR Subpart C
Permissive Exclusions
June 11, 2020
§
1001.201
Conviction relating to program or health care fraud
§
1001.301
Conviction relating to obstruction of an investigation or audit
§
1001.401
Conviction relating to controlled substances
§
1001.501
License revocation or suspension
§
1001.601
Exclusion or suspension under a Federal or State health care program
§
1001.701
Excessive claims or furnishing of unnecessary or substandard items and services
§
1001.801
Failure of HMOs and CMPs to furnish medically necessary items and services
§
1001.901
False or improper claims
§
1001.951
Fraud and kickbacks and other prohibited activities
§
1001.952
Exceptions
§
1001.1001
Exclusion of entities owned or controlled by a sanctioned person
§
1001.1101
Failure to disclose certain information
§
1001.1201
Failure to provide payment information
§
1001.1301
Failure to grant immediate access
§
1001.1401
Violations of PPS corrective action
§
1001.1501
Default of health education loan or scholarship obligations
§
1001.1551
Exclusion of individuals with ownership or control interest in sanctioned entities
§
1001.1552
Making false statements or misrepresentation of material facts
§
1001.1601
Violations of the limitations on physician charges
§
1001.1701
Billing for services of assistant at surgery during cataract operations
Appendix
A to Subpart C of Part 1001
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