5 CFR § 890.1046
Effect of debarment or suspension on payments for services furnished in emergency situations
November 4, 2020
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.
[69 FR 9920, Mar. 3, 2004]
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