This might occur when an expert provider furnishes intercourse therapy (a remedy which can be recognized by the supplier’s licensing authority but which is excluded from CHAMPUS coverage) and repeatedly submits CHAMPUS claims for the companies. Administrative determination that the supplier has participated in a conflict of curiosity state of affairs. The Director, OCHAMPUS, or a designee, could exclude or droop any supplier who has knowingly been involved in a battle of curiosity state of affairs beneath CHAMPUS. The time period of exclusion or suspension shall be determined by the Director, OCHAMPUS, or a designee, pursuant to paragraph of this part. For functions of this administrative determination, will probably be presumed that a CHAMPUS supplier knowingly participated in a conflict of interest state of affairs if the provider employs, in the remedy of a CHAMPUS beneficiary , any medical personnel who’re active responsibility members of the Uniformed Services or civilian workers of the Government.
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