[Code of Federal Regulations]
[Title 5, Volume 2]
[Revised as of January 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 5CFR890.1043]

[Page 497]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
Subpart J_Administrative Sanctions Imposed Against Health Care Providers
 
Sec. 890.1043  Effect of debarment on a provider.

    (a) FEHBP payments prohibited. A debarred provider is not eligible 
to receive payment, directly or indirectly, from FEHBP funds for items 
or services furnished to a covered individual on or after the effective 
date of the debarment. Also, a provider shall not accept an assignment 
of a claim for items or services furnished to a covered individual 
during the period of debarment. These restrictions shall remain in 
effect until the provider is reinstated by OPM.
    (b) Governmentwide effect. Debarment precludes a provider from 
participating in all other Federal agencies' procurement and 
nonprocurement programs and activities, as required by section 2455 of 
the Federal Acquisition Streamlining Act of 1994 (Pub. L. 103--355). 
Other agencies may grant a waiver or exception under their own 
regulations, to permit a provider to participate in their programs, 
notwithstanding the OPM debarment.
    (c) Civil or criminal liability. A provider may be subject to civil 
monetary penalties under this subpart or criminal liability under other 
Federal statutes for knowingly filing claims, causing claims to be 
filed, or accepting payment from FEHBP carriers for items or services 
furnished to a covered individual during a period of debarment .

    Notifying Outside Parties About Debarment and Suspension Actions