Illinois HFS OIG Sanctions List: A Provider’s Guide to the Illinois Medicaid Exclusion List
Illinois maintains a separate Medicaid exclusion list, the HFS OIG Sanctions List. Healthcare providers that operate in Illinois…
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 MoreIllinois HFS OIG Sanctions List: A Provider’s Guide to the Illinois Medicaid Exclusion List
Idaho Medicaid Provider Sanctions: A Provider’s Guide to the Idaho Medicaid Exclusion List
Idaho maintains a separate Medicaid exclusion list, the Idaho Medicaid Provider Sanctions. Healthcare providers that operate in Idaho…
Hawaii MedQUEST Provider Exclusion and Reinstatement List: A Provider’s Guide to the Hawaii Medicaid Exclusion List
Hawaii maintains a separate Medicaid exclusion list, the MedQUEST Provider Exclusion and Reinstatement List. Healthcare providers that operate…
Georgia OIG Exclusions List: A Provider’s Guide to the Georgia Medicaid Exclusion List
Georgia maintains a separate Medicaid exclusion list, the Georgia OIG Exclusions List. Healthcare providers that operate in Georgia…
District of Columbia DC Excluded Parties List: A Provider’s Guide to the District of Columbia Medicaid Exclusion List
District of Columbia maintains a separate Medicaid exclusion list, the DC Excluded Parties List. Healthcare providers that operate…
Delaware Medicaid Provider Sanctions: A Provider’s Guide to the Delaware Medicaid Exclusion List
Delaware maintains a separate Medicaid exclusion list, the Delaware Medicaid Provider Sanctions. Healthcare providers that operate in Delaware…
Connecticut DSS Quality Assurance Administrative Actions List: A Provider’s Guide to the Connecticut Medicaid Exclusion List
Connecticut maintains a separate Medicaid exclusion list, the DSS Quality Assurance Administrative Actions List. Healthcare providers that operate…
Colorado HCPF Provider Termination List: A Provider’s Guide to the Colorado Medicaid Exclusion List
Colorado maintains a separate Medicaid exclusion list, the HCPF Provider Termination List. Healthcare providers that operate in Colorado…