Arkansas Medicaid Exclusions: A Provider’s Guide to the Arkansas Medicaid Exclusion List
Arkansas maintains a separate Medicaid exclusion list, the Arkansas Medicaid Exclusions. Healthcare providers that operate in Arkansas or…
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 MoreArkansas Medicaid Exclusions: A Provider’s Guide to the Arkansas Medicaid Exclusion List
Arizona AHCCCS Provider Fraud/Actions: A Provider’s Guide to the Arizona Medicaid Exclusion List
Arizona maintains a separate Medicaid exclusion list, the AHCCCS Provider Fraud Healthcare providers that operate in Arizona or…
Alaska Excluded Provider List: A Provider’s Guide to the Alaska Medicaid Exclusion List
Alaska maintains a separate Medicaid exclusion list, the Alaska Excluded Provider List. Healthcare providers that operate in Alaska…
Historical OIG settlements and penalties
Historical index of settlements and penalties from OIG investigations and self-disclosed violations.
Interactive Guide To State Medicaid Exclusion Lists
The 44 state Medicaid exclusion lists — each state's program name, issuing agency, file format, and the screening obligations providers have to meet. By former DOJ Health Care Fraud Coordinator Paul Weidenfeld.
A Provider’s Guide to Washington State Medicaid
This guide is intended to assist Apple Health providers on exclusion and sanction screening obligations for anyone whose role could affect Medicaid billings or deliverables — clinical and non-clinical — and describes how to screen, document, remediate, and report matches.
Who Can Request An Exclusion Waiver?
Authorized Requester Only the administrator of a Federal or state health care program (e.g., Medicare or Medicaid director)…
Exclusions can be Devastating for Small Practices
Exclusions from participation in federal and state healthcare programs represent a significant and often devastating threat to healthcare…