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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 or that hire employees licensed in Idaho must screen this list alongside the federal OIG LEIE and GSA/SAM. Missing a state-level exclusion is treated under the same civil money penalty framework as missing a federal exclusion: overpayment liability, CMPs of up to $24,947 per violation, and potential False Claims Act exposure for retained overpayments.

This guide is a working reference to the Idaho Medicaid exclusion list: what it covers, how to access it, and how it fits into a federal-plus-state screening program. A more detailed practitioner playbook and enforcement history for this state are in development.

Official state source: https://healthandwelfare.idaho.gov/Providers/MedicaidProviders/tabid/2…

Verify your check directly with the state authority. Exclusion Screening, LLC screens this list as part of standard SAFER Plus service, alongside the OIG LEIE, GSA/SAM, and every other state Medicaid exclusion list.

For the full regulatory framework of OIG exclusions and CMP liability, see The Definitive Guide to OIG Exclusions. For the complete state-by-state view, see the state exclusion lists hub.

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