Utah Medicaid Exclusion Screening: A Provider’s Guide
Utah does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE and…
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.
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Tennessee TennCare Program Integrity List: A Provider’s Guide to the Tennessee Medicaid Exclusion List
Tennessee TennCare Program maintains the Tennessee TennCare Program Integrity List — a separate Medicaid exclusion list providers must…
South Dakota Medicaid Exclusion Screening: A Provider’s Guide
South Dakota does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE…
South Carolina SCDHHS Medicaid Fraud/Exclusions: A Provider’s Guide to the South Carolina Medicaid Exclusion List
South Carolina Dept of Health and Human Services maintains the South Carolina SCDHHS Medicaid Fraud/Exclusions — a separate…
Rhode Island Medicaid Exclusion Screening: A Provider’s Guide
Rhode Island does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE…
Oregon PIAU Convictions/Exclusions List: A Provider’s Guide to the Oregon Medicaid Exclusion List
Oregon Provider Integrity Audit Unit maintains the Oregon PIAU Convictions/Exclusions List — a separate Medicaid exclusion list providers…
Oklahoma Medicaid Exclusion Screening: A Provider’s Guide
Oklahoma does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE and…
Ohio Medicaid Provider Exclusion and Suspension List: A Provider’s Guide to the Ohio Medicaid Exclusion List
The state of Ohio maintains the Ohio Medicaid Provider Exclusion and Suspension List — a separate Medicaid exclusion…