New Report Screening Failures & Their Financial Fallout — $26M in penalties and how to avoid them. Download the report →

Indiana FSSA OMPP Provider Sanctions: A Provider’s Guide to the Indiana Medicaid Exclusion List

Line-drawing illustration of the Indiana state flag, flower, and bird

Indiana FSSA Office of Medicaid Policy and Planning maintains the Indiana FSSA OMPP Provider Sanctions — a separate Medicaid exclusion list providers must screen alongside the federal OIG LEIE and GSA/SAM. Hiring or contracting with anyone on these lists creates federal penalty exposure, even when the hire was unintentional.

Indiana at a glance

Official list nameIndiana FSSA OMPP Provider Sanctions
Administering agencyIndiana FSSA Office of Medicaid Policy and Planning
FormatOnline searchable list
Screening cadenceMonthly (CMS SMDL #08-003 and #09-001)
Official sourceView Indiana’s official list →

Recent cases from across the country

Each settlement below started with one missed exclusion check. All were preventable. Don’t let your organization become the next example.

Indiana hasn’t had a publicly reported settlement of this kind between 2020 and 2025, so the cases below are drawn from the most recent enforcement actions nationally.

December 2025 · Arizona · Medical practice

$106,388 — A medical practice settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →

December 2025 · Colorado · Nursing home

$292,594 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →

December 2025 · Colorado · Nursing home

$227,525 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →

December 2025 · California · Hospital

$112,390 — A hospital settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →

December 2025 · California · Hospital

$357,944 — A hospital settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →

The pattern is clear: Organizations of all types and sizes can be penalized for hiring excluded people or vendors. The only reliable defense is screening every employee and contractor against every exclusion list, monthly. We make that easy for you.

Indiana-specific FAQs

Is the Indiana FSSA OMPP Provider Sanctions the same as the OIG LEIE?

No. The OIG LEIE is the federal exclusion list covering Medicare, Medicaid, and all federal health programs. The Indiana FSSA OMPP Provider Sanctions is separate and covers providers excluded or terminated from Indiana Medicaid specifically. Providers must screen both, along with GSA/SAM.

How often do I need to screen against the Indiana FSSA OMPP Provider Sanctions?

Monthly, on hire and every month thereafter. CMS State Medicaid Director Letters #08-003 and #09-001 require monthly screening of every employee, contractor, and vendor that contributes to a claim — including billers, coders, and managing employees.

Do I need to screen the Indiana list if I’m not located in Indiana?

Yes — if you bill Indiana Medicaid or employ Indiana-licensed staff, the screening obligation applies. An exclusion in one state can also trigger sanctions in others under Section 6501 of the Affordable Care Act.

Federal penalties & cross-state implications

The OIG can impose civil monetary penalties of up to $24,947 per item or service that an excluded individual contributed to. Penalties stack quickly: a single excluded employee submitting claims over several months can produce six- or seven-figure exposure. Self-disclosure reduces but does not eliminate the penalty — recent settlements show organizations paying $100K-$3M+ even after voluntary reporting.

CMS requires monthly screening of employees, contractors, vendors, and any party who contributes to a claim — including billers, coders, and managing employees. Screening is required on hire and monthly thereafter (CMS State Medicaid Director Letters #08-003 and #09-001).

An exclusion in one state can trigger sanctions in others under Section 6501 of the Affordable Care Act. Providers should screen against the OIG LEIE, GSA/SAM, and every state Medicaid exclusion list — not just their home state.

Related resources

Schedule a Free Consultation

Talk with exclusion screening experts

  • OIG, SAM & state exclusion lists
  • Compliance gap analysis
  • Custom screening solutions
Book Your Free Consultation

Discover more from Exclusion Screening

Subscribe now to keep reading and get access to the full archive.

Continue reading