Title 42

PART 1003

Part 1003 - Civil Money Penalties, Assessments And Exclusions

PART 1003 - CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS Authority:42 U.S.C. 262a, 1302, 1320-7, 1320a-7a, 1320b-10, 1395u(j), 1395u(k), 1395cc(j), 1395w-141(i)(3), 1395dd(d)(1), 1395mm, 1395nn(g), 1395ss(d), 1396b(m), 11131(c), and 11137(b)(2). Source:51 FR 34777, Sept. 30, 1986, unless otherwise noted.

42:5.0.2.5.4.1SUBPART A
Subpart A - General Provisions
42:5.0.2.5.4.1.69.1SECTION 1003.100
   1003.100 Basis and purpose.
42:5.0.2.5.4.1.69.2SECTION 1003.110
   1003.110 Definitions.
42:5.0.2.5.4.1.69.3SECTION 1003.120
   1003.120 Liability for penalties and assessments.
42:5.0.2.5.4.1.69.4SECTION 1003.130
   1003.130 Assessments.
42:5.0.2.5.4.1.69.5SECTION 1003.140
   1003.140 Determinations regarding the amount of penalties and assessments and the period of exclusion.
42:5.0.2.5.4.1.69.6SECTION 1003.150
   1003.150 Delegation of authority.
42:5.0.2.5.4.1.69.7SECTION 1003.160
   1003.160 Waiver of exclusion.
42:5.0.2.5.4.2SUBPART B
Subpart B - CMPs, Assessments, and Exclusions for False or Fraudulent Claims and Other Similar Misconduct
42:5.0.2.5.4.2.69.1SECTION 1003.200
   1003.200 Basis for civil money penalties, assessments, and exclusions.
42:5.0.2.5.4.2.69.2SECTION 1003.210
   1003.210 Amount of penalties and assessments.
42:5.0.2.5.4.2.69.3SECTION 1003.220
   1003.220 Determinations regarding the amount of penalties and assessments and the period of exclusion.
42:5.0.2.5.4.3SUBPART C
Subpart C - CMPs, Assessments, and Exclusions for Anti-Kickback and Physician Self-Referral Violations
42:5.0.2.5.4.3.69.1SECTION 1003.300
   1003.300 Basis for civil money penalties, assessments, and exclusions.
42:5.0.2.5.4.3.69.2SECTION 1003.310
   1003.310 Amount of penalties and assessments.
42:5.0.2.5.4.3.69.3SECTION 1003.320
   1003.320 Determinations regarding the amount of penalties and assessments and the period of exclusion.
42:5.0.2.5.4.4SUBPART D
Subpart D - CMPs and Assessments for Contracting Organization Misconduct
42:5.0.2.5.4.4.69.1SECTION 1003.400
   1003.400 Basis for civil money penalties and assessments.
42:5.0.2.5.4.4.69.2SECTION 1003.410
   1003.410 Amount of penalties and assessments for Contracting Organization.
42:5.0.2.5.4.4.69.3SECTION 1003.420
   1003.420 Determinations regarding the amount of penalties and assessments.
42:5.0.2.5.4.5SUBPART E
Subpart E - CMPs and Exclusions for EMTALA Violations
42:5.0.2.5.4.5.69.1SECTION 1003.500
   1003.500 Basis for civil money penalties and exclusions.
42:5.0.2.5.4.5.69.2SECTION 1003.510
   1003.510 Amount of penalties.
42:5.0.2.5.4.5.69.3SECTION 1003.520
   1003.520 Determinations regarding the amount of penalties and the period of exclusion.
42:5.0.2.5.4.6SUBPART F
Subpart F - CMPs for Section 1140 Violations
42:5.0.2.5.4.6.69.1SECTION 1003.600
   1003.600 Basis for civil money penalties.
42:5.0.2.5.4.6.69.2SECTION 1003.610
   1003.610 Amount of penalties.
42:5.0.2.5.4.6.69.3SECTION 1003.620
   1003.620 Determinations regarding the amount of penalties.
42:5.0.2.5.4.7SUBPART G
Subpart G [Reserved]
42:5.0.2.5.4.8SUBPART H
Subpart H - CMPs for Adverse Action Reporting and Disclosure Violations
42:5.0.2.5.4.8.69.1SECTION 1003.800
   1003.800 Basis for civil money penalties.
42:5.0.2.5.4.8.69.2SECTION 1003.810
   1003.810 Amount of penalties.
42:5.0.2.5.4.8.69.3SECTION 1003.820
   1003.820 Determinations regarding the amount of penalties.
42:5.0.2.5.4.9SUBPART I
Subpart I - CMPs for Select Agent Program Violations
42:5.0.2.5.4.9.69.1SECTION 1003.900
   1003.900 Basis for civil money penalties.
42:5.0.2.5.4.9.69.2SECTION 1003.910
   1003.910 Amount of penalties.
42:5.0.2.5.4.9.69.3SECTION 1003.920
   1003.920 Determinations regarding the amount of penalties.
42:5.0.2.5.4.10SUBPART J
Subpart J - CMPs, Assessments, and Exclusions for Beneficiary Inducement Violations
42:5.0.2.5.4.10.69.1SECTION 1003.1000
   1003.1000 Basis for civil money penalties, assessments, and exclusions.
42:5.0.2.5.4.10.69.2SECTION 1003.1010
   1003.1010 Amount of penalties and assessments.
42:5.0.2.5.4.10.69.3SECTION 1003.1020
   1003.1020 Determinations regarding the amount of penalties and assessments and the period of exclusion.
42:5.0.2.5.4.11SUBPART K
Subpart K - CMPs for the Sale of Medicare Supplemental Policies
42:5.0.2.5.4.11.69.1SECTION 1003.1100
   1003.1100 Basis for civil money penalties.
42:5.0.2.5.4.11.69.2SECTION 1003.1110
   1003.1110 Amount of penalties.
42:5.0.2.5.4.11.69.3SECTION 1003.1120
   1003.1120 Determinations regarding the amount of penalties.
42:5.0.2.5.4.12SUBPART L
Subpart L - CMPs for Drug Price Reporting
42:5.0.2.5.4.12.69.1SECTION 1003.1200
   1003.1200 Basis for civil money penalties.
42:5.0.2.5.4.12.69.2SECTION 1003.1210
   1003.1210 Amount of penalties.
42:5.0.2.5.4.12.69.3SECTION 1003.1220
   1003.1220 Determinations regarding the amount of penalties.
42:5.0.2.5.4.13SUBPART M
Subpart M - CMPs for Notifying a Skilled Nursing Facility, Nursing Facility, Home Health Agency, or Community Care Setting of a Survey
42:5.0.2.5.4.13.69.1SECTION 1003.1300
   1003.1300 Basis for civil money penalties.
42:5.0.2.5.4.13.69.2SECTION 1003.1310
   1003.1310 Amount of penalties.
42:5.0.2.5.4.13.69.3SECTION 1003.1320
   1003.1320 Determinations regarding the amount of penalties.
42:5.0.2.5.4.14SUBPART N
Subpart N [Reserved]
42:5.0.2.5.4.15SUBPART O
Subpart O - Procedures for the Imposition of CMPs, Assessments, and Exclusions
42:5.0.2.5.4.15.69.1SECTION 1003.1500
   1003.1500 Notice of proposed determination.
42:5.0.2.5.4.15.69.2SECTION 1003.1510
   1003.1510 Failure to request a hearing.
42:5.0.2.5.4.15.69.3SECTION 1003.1520
   1003.1520 Collateral estoppel.
42:5.0.2.5.4.15.69.4SECTION 1003.1530
   1003.1530 Settlement.
42:5.0.2.5.4.15.69.5SECTION 1003.1540
   1003.1540 Judicial review.
42:5.0.2.5.4.15.69.6SECTION 1003.1550
   1003.1550 Collection of penalties and assessments.
42:5.0.2.5.4.15.69.7SECTION 1003.1560
   1003.1560 Notice to other agencies.
42:5.0.2.5.4.15.69.8SECTION 1003.1570
   1003.1570 Limitations.
42:5.0.2.5.4.15.69.9SECTION 1003.1580
   1003.1580 Statistical sampling.
42:5.0.2.5.4.15.69.10SECTION 1003.1590
   1003.1590 Effect of exclusion.
42:5.0.2.5.4.15.69.11SECTION 1003.1600
   1003.1600 Reinstatement.