Current States With a Separate Medicaid Exclusion List
The focus of this article is to help providers identify which States have a separate Medicaid exclusion list, how they…
North Carolina Exclusion Screening Requirements
To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of Inspector General…
Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) — The Collateral Consequences of a State Medicaid Enrollment Termination Action
Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) (November 2020): Since 1976, the Department of Health and Human Services (HHS), Office…
Exclusion Loophole: Medicaid Managed Care
In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for cause were often able…
Exclusion Screening Required in United States Territories
Our experts at Exclusion Screening, LLC maintain fact sheets that contain the screening requirements for providers in every state, including…
Medicaid Providers That Are Excluded or Terminated for Cause Often Continue to Participate in Other States According to a New OIG Audit
OIG Audit Findings In a recently released audit, the OIG found that despite the ACA requirement that states terminate…
Alert to Florida Providers Regarding Screening
I. Florida’s State Exclusion. Excluded Providers Costs OIG Over 2.7 Million The Office of the Inspector General (OIG) recently released…
CMS Finds Fault with Exclusion Information Sharing Between States
I. Take It from CMS: If You’re Excluded in One State, You’re Excluded in All States Section 6401(b)(2) of the…