[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: 5CFR890.1047]

[Page 497-498]
 
                    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. 890.1047  Special rules for institutional providers.

    (a) Covered individual admitted before debarment or suspension. If a 
covered

[[Page 498]]

person is admitted as an inpatient before the effective date of an 
institutional provider's debarment or suspension, that provider may 
continue to receive payment of FEHBP funds for inpatient institutional 
services until the covered person is released or transferred, unless the 
debarring or suspending official terminates payments under paragraph (b) 
of this section.
    (b) Health and safety of covered individuals. If the debarring or 
suspending official determines that the health and safety of covered 
persons would be at risk if they remain in a debarred or suspended 
institution, OPM may terminate FEHBP payments at any time.
    (c) Notice of payment limitations. If OPM limits any payment under 
paragraph (b) of this section, it must immediately send written notice 
of its action to the institutional provider.
    (d) Finality of debarring or suspending official's decision. The 
debarring or suspending official's decision to limit or deny payments 
under paragraph (b) of this section is not subject to administrative 
review or reconsideration.

[69 FR 9920, Mar. 3, 2004]