North Dakota ND Medicaid Fraud/Abuse Sanctions: A Provider’s Guide to the North Dakota Medicaid Exclusion List
The state of North Dakota maintains the North Dakota ND Medicaid Fraud/Abuse Sanctions — a separate Medicaid exclusion…
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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New Mexico Medicaid Exclusion Screening: A Provider’s Guide
New Mexico does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE…
New Jersey NJ Debarment List: A Provider’s Guide to the New Jersey Medicaid Exclusion List
The state of New Jersey maintains the New Jersey NJ Debarment List — a separate Medicaid exclusion list…
New Hampshire NH Medicaid Provider Relations Sanctions: A Provider’s Guide to the New Hampshire Medicaid Exclusion List
The state of New Hampshire maintains the New Hampshire NH Medicaid Provider Relations Sanctions — a separate Medicaid…
Nevada Medicaid Provider Sanctions/Exclusions: A Provider’s Guide to the Nevada Medicaid Exclusion List
The state of Nevada maintains the Nevada Medicaid Provider Sanctions/Exclusions — a separate Medicaid exclusion list providers must…
Nebraska DHHS Program Integrity Sanctioned Providers: A Provider’s Guide to the Nebraska Medicaid Exclusion List
Nebraska Department of Health and Human Services maintains the Nebraska DHHS Program Integrity Sanctioned Providers — a separate…
Montana Terminated/Excluded Providers (DPHHS): A Provider’s Guide to the Montana Medicaid Exclusion List
Montana Department of Public Health and Human Services maintains the Montana Terminated/Excluded Providers (DPHHS) — a separate Medicaid…
Missouri MMAC Provider Sanctions List: A Provider’s Guide to the Missouri Medicaid Exclusion List
Missouri Medicaid Audit and Compliance Unit maintains the Missouri MMAC Provider Sanctions List — a separate Medicaid exclusion…