Effect of debarment or suspension on payments for services furnished in emergency situations.

CFR · 2024-01-01 · US · Title 5

A debarred or suspended health care provider may receive FEHBP funds paid for items or services furnished on an emergency basis if the FEHBP carrier serving the covered individual determines that: (a) The provider's treatment was essential to the health and safety of the covered individual; and (b) No other source of equivalent treatment was reasonably available.

official document · source cfr-2024 · id 5:§ 890.1046