Current States With a Separate Medicaid Exclusion List
Map of the States with a Separate Medicaid Exclusion List Click on your state to view their Medicaid exclusion list….
What is an Exclusion Waiver and Who May Apply for one?
We have previously discussed that once a provider is excluded he may not furnish items or services paid for by the…
California Exclusion List Screening Requirements
What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or service furnished…
How the LEIE, GSA/SAM, and State Exclusion Lists Differ; And Why They Need to be Screened
Exclusions and debarments are powerful administrative sanctions imposed by Federal and State agencies. They are intended to protect their programs…
What is an OIG Exclusion?
OIG Exclusions are powerful enforcement sanctions that bar an individual or entity from any participation in Federal and State health…
Resolving Exclusion Violations through the OIG Self-Disclosure Protocol
I. Introduction The Office of Inspector General (OIG) has the authority to exclude providers from participating in federal health care…
Medicare / Medicaid Providers Beware: A Nolo Contendere Plea to a Non-Health Care Crime Can Still Result in Exclusion from Medicare
The last two years have been rough for everyone, and it has been particularly difficult for healthcare providers and suppliers….
The Proposed Expansion of CMS’ Revocation Authority Makes Monthly Exclusion Screening of ALL Employees More Important than Ever!
The Centers for Medicare and Medicaid Services (CMS)[1] is the Federal agency tasked with the overall responsibility of managing the…
When an Underlying Misdemeanor or Felony Conviction is Expunged, Does That Extinguish an Exclusion Action?
Medicare and Medicaid providers / suppliers are prohibited from employing individuals who have been excluded from participation in Federal health…
What is the Length of A Mandatory Exclusion?
The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is responsible for overseeing the financial and…