§30.725. What are the effects of non-automatic exclusion?
20 C.F.R. § 30.725
OWCP shall give notice of the exclusion of a physician, hospital or provider of medical services or supplies to:
All OWCP district offices;
CMS;
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
The state or local authority responsible for licensing or certifying the excluded provider.
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:
Such treatment, service or supply was rendered in an emergency by an excluded physician; or
The employee could not reasonably have been expected to know of such exclusion.
An employee who is notified that his or her attending physician has been excluded shall have a new right to select a qualified physician.
Notes, amendments, and revision history
Amendments
[71 FR 78534, Dec. 29, 2006, as amended at 84 FR 3059, Feb. 8, 2019]
Authority
Authority: 5 U.S.C. 301; 31 U.S.C. 3716 and 3717; 42 U.S.C. 7384d, 7384t, 7384u and 7385s-10; Executive Order 13179, 65 FR 77487, 3 CFR, 2000 Comp., p. 321; Secretary of Labor's Order No. 10-2009, 74 FR 58834.
Source
Source: 71 FR 78534, Dec. 29, 2006, unless otherwise noted.
Amendments
[71 FR 78534, Dec. 29, 2006, as amended at 84 FR 3059, Feb. 8, 2019]