Scheme Nickname: 
Administrative sanctions - FEHB providers

Adjudication scheme for imposition of administrative sanctions (e.g., debarment, suspension, civil monetary penalties, and other monetary assessments) by OPM against FEHB providers pursuant to its authority under the FEHB program (5 CFR Parts 890, Subpart J).

For FEHB cases, by statute, there are two classes of debarment: mandatory debarment (based on certain criminal convictions such as fraud, abuse of patients, and distribution of controlled substances) and permissive debarment (based on license revocation or pending disciplinary proceedings concerning provider's professional competence). Statutory minimum for mandatory debarments is 3 years. Permissive debarments are (with certain exceptions) indefinite based on licensure status.

Adjudication Levels: 
LevelName of OfficeAre administrative appeals permitted from final decisions at this stage?
Hearing Level
Types of Adjudication: 
Type B
Verified by Agency: 
Not verified
Is this a Major Adjudication: