Iowa Medicaid Exclusion List: A Provider’s Guide
The state of Iowa maintains the Iowa Medicaid Exclusion List — a separate Medicaid exclusion list providers must…
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 MoreIowa Medicaid Exclusion List: A Provider’s Guide
Indiana FSSA OMPP Provider Sanctions: A Provider’s Guide to the Indiana Medicaid Exclusion List
Indiana FSSA Office of Medicaid Policy and Planning maintains the Indiana FSSA OMPP Provider Sanctions — a separate…
Illinois HFS OIG Sanctions List: A Provider’s Guide to the Illinois Medicaid Exclusion List
Illinois Healthcare and Family Services OIG maintains the Illinois HFS OIG Sanctions List — a separate Medicaid exclusion…
Idaho Medicaid Provider Sanctions: A Provider’s Guide to the Idaho Medicaid Exclusion List
The state of Idaho maintains the Idaho Medicaid Provider Sanctions — a separate Medicaid exclusion list providers must…
Hawaii MedQUEST Provider Exclusion and Reinstatement List: A Provider’s Guide to the Hawaii Medicaid Exclusion List
Hawaii MedQUEST Division maintains the Hawaii MedQUEST Provider Exclusion and Reinstatement List — a separate Medicaid exclusion list…
Georgia OIG Exclusions List: A Provider’s Guide to the Georgia Medicaid Exclusion List
The state of Georgia maintains the Georgia OIG Exclusions List — a separate Medicaid exclusion list providers must…
District of Columbia DC Excluded Parties List: A Provider’s Guide to the District of Columbia Medicaid Exclusion List
The state of District of Columbia maintains the District of Columbia DC Excluded Parties List — a separate…
Delaware Medicaid Provider Sanctions: A Provider’s Guide to the Delaware Medicaid Exclusion List
The state of Delaware maintains the Delaware Medicaid Provider Sanctions — a separate Medicaid exclusion list providers must…