Historical OIG settlements and penalties
Historical index of settlements and penalties from OIG investigations and self-disclosed violations.
Category Enforcement
Enforcement actions and civil money penalties for exclusion violations. In 2025 alone, 35 healthcare organizations paid more than $26 million in CMPs and settlements — a six-fold increase over 2024. This section tracks OIG enforcement trends by sector and state, documents landmark settlements including the $18.8M Florida case, and covers both Medicare and Medicaid enforcement programs.
Read MoreHistorical OIG settlements and penalties
Interactive Guide To State Medicaid Exclusion Lists
The 44 state Medicaid exclusion lists — each state's program name, issuing agency, file format, and the screening obligations providers have to meet. By former DOJ Health Care Fraud Coordinator Paul Weidenfeld.
A Provider’s Guide to Washington State Medicaid
This guide is intended to assist Apple Health providers on exclusion and sanction screening obligations for anyone whose role could affect Medicaid billings or deliverables — clinical and non-clinical — and describes how to screen, document, remediate, and report matches.
California Exclusion List Screening Requirements
What are the California Exclusion List Screening requirements? The Medi-Cal Program will not pay for any item or…
Pennsylvania Medicheck Preclusion List: A Provider’s Guide to Screening
The Pennsylvania Precluded Provider List, commonly referred to as “Pennsylvania Medicheck ,” identifies individuals and entities who have…
About the Medi-Cal Suspended and Ineligible Provider List
California’s Medi-Cal Suspended and Ineligible Provider List is Designed to Safeguard Beneficiaries and Protect the Financial Integrity of…
Why Should We Screen Against the Social Security Administration Death Master File?
At Exclusion Screening, we often receive questions about the scope and frequency of an organization’s screening duties and…
North Carolina Exclusion Screening Requirements
To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of…