§ 30.725. What are the effects of non-automatic exclusion?
174 words·~1 min read·
/us/cfr/t20/s§ 30.725·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(a)OWCP shall give notice of the exclusion of a physician, hospital or provider of medical services or supplies to:
(1)All OWCP district offices;
(2)CMS;
(3)All employees who are known to have had treatment, services or supplies from the excluded provider within the six-month period immediately preceding the order of exclusion; and
(4)The state or local authority responsible for licensing or certifying the excluded provider.
(b)Notwithstanding any exclusion of a physician, hospital, or provider of medical services or supplies under this subpart, OWCP shall not refuse an employee reimbursement for any otherwise reimbursable medical treatment, service or supply if:
(1)Such treatment, service or supply was rendered in an emergency by an excluded physician; or
(2)The employee could not reasonably have been expected to know of such exclusion.
(c)An employee who is notified that his or her attending physician has been excluded shall have a new right to select a qualified physician. [71 FR 78534, Dec. 29, 2006, as amended at 84 FR 3059, Feb. 8, 2019]