New Jersey NJ Debarment List: A Provider’s Guide to the New Jersey Medicaid Exclusion List
New Jersey maintains a separate Medicaid exclusion list, the NJ Debarment List. Healthcare providers that operate in New…
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 MoreNew Jersey NJ Debarment List: A Provider’s Guide to the New Jersey Medicaid Exclusion List
New Hampshire NH Medicaid Provider Relations Sanctions: A Provider’s Guide to the New Hampshire Medicaid Exclusion List
New Hampshire maintains a separate Medicaid exclusion list, the NH Medicaid Provider Relations Sanctions. Healthcare providers that operate…
Nevada Medicaid Provider Sanctions/Exclusions: A Provider’s Guide to the Nevada Medicaid Exclusion List
Nevada maintains a separate Medicaid exclusion list, the Nevada Medicaid Provider Sanctions Healthcare providers that operate in Nevada…
Nebraska DHHS Program Integrity Sanctioned Providers: A Provider’s Guide to the Nebraska Medicaid Exclusion List
Nebraska maintains a separate Medicaid exclusion list, the DHHS Program Integrity Sanctioned Providers. Healthcare providers that operate in…
Montana Terminated/Excluded Providers (DPHHS): A Provider’s Guide to the Montana Medicaid Exclusion List
Montana maintains a separate Medicaid exclusion list, the Terminated/Excluded Providers (DPHHS). Healthcare providers that operate in Montana or…
Missouri MMAC Provider Sanctions List: A Provider’s Guide to the Missouri Medicaid Exclusion List
Missouri maintains a separate Medicaid exclusion list, the MMAC Provider Sanctions List. Healthcare providers that operate in Missouri…
Mississippi MS Medicaid Provider Terminations: A Provider’s Guide to the Mississippi Medicaid Exclusion List
Mississippi maintains a separate Medicaid exclusion list, the MS Medicaid Provider Terminations. Healthcare providers that operate in Mississippi…
Minnesota DHS Medicaid Excluded Provider List: A Provider’s Guide to the Minnesota Medicaid Exclusion List
Minnesota maintains a separate Medicaid exclusion list, the DHS Medicaid Excluded Provider List. Healthcare providers that operate in…