The length of exclusion from participation in Medicare, Medicaid, and, where applicable, other Federal health care programs, is contingent upon the specific violation of the Medicare statute. A full description of the specific violations identified in the sections of the Act are cross-referenced in the regulatory sections listed in the table in paragraph (a) of this section.
Social Security Act paragraph | Code of Federal Regulations section |
1833(h)(5)(D) in repeated cases | § 402.1(c)(1) |
1833(q)(2)(B) in repeated cases | § 402.1(c)(3) |
1834(a)(11)(A) | § 402.1(c)(4) |
1834(a)(18)(B) | § 402.1(c)(5) |
1834(b)(5)(C) | § 402.1(c)(6) |
1834(c)(4)(C) | § 402.1(c)(7) |
1834(h)(3) | § 402.1(c)(8) |
1834(j)(4) | § 402.1(c)(10) |
1834(k)(6) | § 402.1(c)(31) |
1834(l)(6) | § 402.1(c)(32) |
1842(b)(18)(B) | § 402.1(c)(11) |
1842(k) | § 402.1(c)(12) |
1842(l)(3) | § 402.1(c)(13) |
1842(m)(3) | § 402.1(c)(14) |
1842(n)(3) | § 402.1(c)(15) |
1842(p)(3)(B) in repeated cases | § 402.1(c)(16) |
1848(g)(1)(B) in repeated cases | § 402.1(c)(17) |
1848(g)(3)(B) | § 402.1(c)(18) |
1848(g)(4)(B)(ii) in repeated cases | § 402.1(c)(19) |
1879(h) | § 402.1(c)(23) |
Social Security Act paragraph | Code of Federal Regulations section |
1834(a)(17)(c) for a pattern of contacts | § 402.1(e)(2)(i) |
1834(h)(3) for a pattern of contacts | § 402.1(e)(2)(ii) |
1877(g)(5) | § 402.1(c)(22) |
1882(a)(2) | § 402.1(c)(24) |
1882(p)(8) | § 402.1(c)(25) |
1882(p)(9)(C) | § 402.1(c)(26) |
1882(q)(5)(C) | § 402.1(c)(27) |
1882(r)(6)(A) | § 402.1(c)(28) |
1882(s)(4) | § 402.1(c)(29) |
1882(t)(2) | § 402.1(c)(30) |
42 C.F.R. §402.205