Exclusion reference
Health care and federal assistance exclusion
Code
ZExcluded by the Department of Health and Human Services from participation in Title XVIII (Medicare), Title XIX (Medicaid), Title V (Maternal and Child Health Programs) and Title XX (Block Grants to States for Social Services Programs) of the Social Security Act under the authority of Title XI of that Act, and all other Federal nonprocurement programs.
Exclusions are limited to the four specific health care programs referred to above. The effect of an exclusion is that payment may not be made by the programs for any items or services furnished (except an emergency item or service) by an excluded party. If the party is a physician, no payment may be made for any items or services furnished, ordered, or prescribed. This code is applicable only to those parties who were excluded prior to the enactment of the Federal Acquisition Streamlining Act in 1994, after which the scope of all exclusions encompasses both Federal procurement and nonprocurement programs
Historical guidance: legal citations and thresholds may have changed. Check the current rule and issuing agency.
Record identifier
legacy-z