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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 1003.1000: Basis for civil money penalties, assessments, and exclusions.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER V—OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER B—OIG AUTHORITIES
  4. PART 1003—CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS
  5. Subpart J—CMPs, Assessments, and Exclusions for Beneficiary Inducement Violations

(a) The OIG may impose a penalty, an assessment, and an exclusion against any person who it determines offers or transfers remuneration (as defined in § 1003.110) to any individual eligible for benefits under Medicare or a State health care program that such person knows, or should know, is likely to influence such individual to order or to receive from a particular provider, practitioner, or supplier, any item or service for which payment may be made, in whole or in part, under Medicare or a State health care program.

(b) The OIG may impose a penalty against any person who it determines offered any financial or other incentive for an individual entitled to benefits under Medicare not to enroll, or to terminate enrollment, under a group health plan or a large group health plan that would, in the case of such enrollment, be a primary plan as defined in section 1862(b)(2)(A) of the Act.

Collected 2026-08-27T02:26:11Z. Source file · JSON

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