The Definitive Guide to OIG Exclusions
Key Takeaways An OIG exclusion is a final administrative action that bars an individual or entity from all…
Category Exclusion Screening
Exclusion screening is the federal and state compliance obligation to verify that healthcare employees, vendors, and contractors are not barred from participating in Medicare, Medicaid, or other federally-funded programs. Every healthcare provider that bills a federal program is required to screen upon hire and monthly thereafter against the OIG LEIE, GSA/SAM, and all 44 state Medicaid exclusion lists. Failure to screen exposes providers to civil money penalties of up to $24,947 per violation, overpayment liability, and potential False Claims Act exposure. This section of the site is the definitive hub for exclusion screening compliance: the pillar guides, state-by-state requirements, enforcement trends, and the regulatory framework explained by the former federal prosecutors who built it.
Read MoreThe Definitive Guide to OIG Exclusions
Wyoming Medicaid Exclusion List: A Provider’s Guide
Wyoming maintains a separate Medicaid exclusion list, the Wyoming Medicaid Exclusion List. Healthcare providers that operate in Wyoming…
Wisconsin Medicaid Exclusion Screening: A Provider’s Guide
Wisconsin does not maintain a separate Medicaid exclusion list beyond the federal OIG List of Excluded Individuals/Entities (LEIE)…
West Virginia WV Medicaid Provider Sanctioned/Exclusion List: A Provider’s Guide to the West Virginia Medicaid Exclusion List
West Virginia maintains a separate Medicaid exclusion list, the WV Medicaid Provider Sanctioned/Exclusion List. Healthcare providers that operate…
Virginia Medicaid Exclusion Screening: A Provider’s Guide
Virginia does not maintain a separate Medicaid exclusion list beyond the federal OIG List of Excluded Individuals/Entities (LEIE)…
Vermont DVHA Medicaid Excluded Providers: A Provider’s Guide to the Vermont Medicaid Exclusion List
Vermont maintains a separate Medicaid exclusion list, the DVHA Medicaid Excluded Providers. Healthcare providers that operate in Vermont…
Utah Medicaid Exclusion Screening: A Provider’s Guide
Utah does not maintain a separate Medicaid exclusion list beyond the federal OIG List of Excluded Individuals/Entities (LEIE)…
Tennessee TennCare Program Integrity List: A Provider’s Guide to the Tennessee Medicaid Exclusion List
Tennessee maintains a separate Medicaid exclusion list, the TennCare Program Integrity List. Healthcare providers that operate in Tennessee…