Medicaid Enforcement

Map of the States with a Separate Medicaid Exclusion List Click on your state to view their Medicaid...

What are the California Exclusion List Screening requirements?  The Medi-Cal Program will not pay...

The Pennsylvania Precluded Provider List, commonly referred to as “Pennsylvania Medicheck,” identifies...

Most healthcare providers and suppliers in the State of California are aware that exclusions imposed...

At Exclusion Screening, we often receive questions about the scope and frequency of an organization’s...

To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions...

Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B)  (November 2020):  Since 1976, the Department...

Massachusetts Medicaid Exclusion Screening: Requirements and Best Practices for Compliance The Massachusetts...

Over the past year, both State and Federal law enforcement investigators and prosecutors have gone to...

(May 2, 2019) The Alabama Medicaid Program imposes significant exclusion screening requirements on its...

(January 22, 2018): With 2017 behind us, it can be quite helpful to review the Medicare “exclusion”...

By Paul Weidenfeld January 23, 2017 On January 12, 2017, the Office of Inspector General published a...

On April 18, 2016, the Department of Health and Human Services, Office of Inspector General (HHS-OIG)...

In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for...

  OIG Audit Findings In a recently released audit, the OIG found that despite the ACA requirement...

I.   Gains in State Exclusion Enforcement Efforts Highlighted The Office of the Inspector General’s...

Since August 2014, the Office of Inspector General (OIG) has collected roughly $3.75 Million in...

I.  Florida’s State Exclusion. Excluded Providers Costs OIG Over 2.7 Million The Office of...

I.  Take It from CMS: If You’re Excluded in One State, You’re Excluded in All States Section...