20 C.F.R. § 30.725

Current through October 31, 2024
Section 30.725 - What are the effects of non-automatic exclusion?
(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.

20 C.F.R. §30.725

71 FR 78534 , Dec. 29, 2006, as amended at 84 FR 3059 , Feb. 8, 2019
84 FR 3058 , 4/9/2019