42 C.F.R. § 1003.100

Basis and purpose

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(a) Basis. This part implements sections 1128(c), 1128A, 1140, 1819(b)(3)(B), 1819(g)(2)(A), 1857(g)(2)(A), 1860D-12(b)(3)(E), 1860D-31(i)(3), 1862(b)(3)(C), 1867(d)(1), 1876(i)(6), 1877(g), 1882(d), 1891(c)(1); 1903(m)(5), 1919(b)(3)(B), 1919(g)(2)(A), 1927(b)(3)(B), 1927(b)(3)(C), and 1929(i)(3) of the Social Security Act; sections 421(c) and 427(b)(2) of Public Law 99-660; section 201(i) of Public Law 107-188 (42 U.S.C. 1320a-7(c), 1320a-7a, 1320b-10, 1395i-3(b)(3)(B), 1395i-3(g)(2)(A), 1395w-27(g)(2)(A), 1395w-112(b)(3)(E), 1395w-141(i)(3), 1395y(b)(3)(B), 1395dd(d)(1), 1395mm(i)(6), 1395nn(g), 1395ss(d), 1395bbb(c)(1), 1396b(m)(5), 1396r(b)(3)(B), 1396r(g)(2)(A), 1396r-8(b)(3)(B), 1396r-8(b)(3)(C), 1396t(i)(3), 11131(c), 11137(b)(2), and 262a(i)); and section 3022 of the Public Health Service Act (42 U.S.C. 300jj-52).

(b) Purpose. This part—

(1) Provides for the imposition of civil money penalties (CMPs) and, as applicable, assessments and exclusions against persons who have committed an act or omission that violates one or more provisions of this part; and

(2) Sets forth the appeal rights of persons subject to a penalty, assessment, and exclusion.

[81 FR 88354, Dec. 7, 2016, as amended at 88 FR 42839, July 3, 2023]

Notes of Decisions

Cited in 5 cases (2 in the last 5 years), 1991–2025 · leading case: Shakhnes Ex Rel. Shakhnes v. Berlin, 689 F.3d 244 (2d Cir. 2012).

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Shakhnes Ex Rel. Shakhnes v. Berlin, 689 F.3d 244 (2d Cir. 2012). “” See 42 C.F.R. § 1003.100 (b)(l)(vn) (emphasis added); see also id.”

Clarence Abner v. Mobile Infirmary Hosp., 149 F. App'x 857 (11th Cir. 2005). “See 42 C.F.R. § 1003.100 et seq. 3 Thus, the dis *859 trict court properly found that jurisdiction did not exist in this case.”

Hernandez Caruso v. Texas Med. Bd. (W.D. Tex. 2024). “See 42 C.F.R. § 1003.100 . Caruso does not allege a plausible claim for relief under the cited federal statutes.”

Hernandez Caruso v. Texas Med. Bd. (5th Cir. 2025). “25-50014 violation of the rights guaranteed in § 1981 by state governmental units”); 42 C.F.R. § 1003.100 (regulation concerning the Office of Inspector General’s Civil Monetary Penalties); 42 U.”

Burditt v. U.S. Dep't of Health & Human Servs., 934 F.2d 1362 (5th Cir. 1991). “42 C.F.R. § 1003.100 (a). Thus, we agree with DAB that while parts of 42 C.”

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