final adverse action

(A)Subject to subparagraph (B), the term “final adverse action” includes— (i)civil judgments against a health care provider, supplier, or practitioner in State court related to the delivery of a health care item or service; (ii)State criminal convictions related to the delivery of a health care item or service; (iii)exclusion from participation in State health care programs (as defined insection 1320a–7(h) of this title); (iv)any licensing or certification action described in subsection (a)(1)(A) taken against a supplier by a State licensing or certification agency; and (v)any other adjudicated actions or decisions that the Secretary shall establish by regulation. (B)Such term does not include any action with respect to a malpractice claim. (h)In implementing this section, the Secretary shall provide for the maximum appropriate coordination with part B of the Health Care Quality Improvement Act of 1986 (et seq.) and.

Source

42 USC § 1396r-2(g)(3)(A)


Scoping language

For purposes of this section
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