[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: 5CFR890.702]

[Page 474]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
            Subpart G_Benefits in Medically Underserved Areas
 
Sec. 890.702  Payment to any licensed practitioner.

    (a) Except as provided in paragraph (b) of this section, if a 
contract between the Office of Personnel Management and a group health 
insurance carrier offering a health benefits plan subject to this 
subpart provides for payment or reimbursement of the cost of health 
services for the care and treatment of a particular health condition 
only if such service is rendered by a certain category of practitioner, 
the plan must also provide benefits, up to the limits of it contract, 
for the same service when rendered and billed for by any other 
individual who is licensed under applicable State law to provide such 
service, if the service is provided to an enrollee of the plan in a 
medically underserved area as defined by this subpart.
    (b) Paragraph (a) of this section applies only to health services 
provided under contracts which became effective after December 31, 1979.

[45 FR 48099, July 18, 1980, as amended at 52 FR 2666, Jan. 26, 1987]