Nebraska Medicaid Exclusion List & Compliance Requirements
What is the Nebraska DHHS Program Integrity Sanctioned Providers list?
The Nebraska DHHS Program Integrity Sanctioned Providers list is the official Medicaid exclusion list maintained by the Nebraska Department of Health and Human Services. Providers must screen this list alongside the federal OIG LEIE and GSA/SAM lists to avoid federal penalty exposure. The list is available as an online searchable database. Note: Screening only the federal list is insufficient for Nebraska Medicaid compliance. View Nebraska’s official list.
Is the Nebraska DHHS Program Integrity Sanctioned Providers list the same as the OIG LEIE?
No. The OIG LEIE is the federal exclusion list covering Medicare, Medicaid, and all federal health programs. The Nebraska DHHS Program Integrity Sanctioned Providers list is separate and covers providers excluded or terminated from Nebraska Medicaid specifically. Providers must screen both lists, as well as GSA/SAM, to ensure compliance. Note: Failing to screen all required lists can result in federal penalties.
How often do I need to screen against the Nebraska DHHS Program Integrity Sanctioned Providers list?
Screening must be performed 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. Note: Less frequent screening increases risk of penalty exposure.
Do I need to screen the Nebraska list if I’m not located in Nebraska?
Yes. If you bill Nebraska Medicaid or employ Nebraska-licensed staff, the screening obligation applies regardless of your physical location. An exclusion in one state can also trigger sanctions in others under Section 6501 of the Affordable Care Act. Note: Providers should screen against the OIG LEIE, GSA/SAM, and every state Medicaid exclusion list—not just their home state.
What penalties can result from hiring or contracting with excluded individuals?
The OIG can impose civil monetary penalties of up to ,947 per item or service that an excluded individual contributed to. Penalties can quickly reach six- or seven-figure amounts, as recent settlements show organizations paying 0,000 to million or more—even after voluntary self-disclosure. Note: Penalties stack per claim and per excluded individual.
Are there recent examples of exclusion screening failures and their financial fallout?
Yes. National enforcement actions show settlements ranging from 6,388 (Arizona medical practice) to 7,944 (California hospital) for employing excluded individuals. Each case began with a missed exclusion check. Nebraska has not had a publicly reported settlement of this kind between 2020 and 2025, but the risk remains. For more details, see Screening Failures & Their Financial Fallout — M in penalties and 200+ documented OIG CMP settlements. Note: Even self-disclosure does not eliminate penalty risk.
Features & Capabilities of Exclusion Screening
What services does Exclusion Screening offer to help with Medicaid exclusion compliance?
Exclusion Screening provides automated exclusion screening and verification services for employees, vendors, and contractors. The proprietary SAFER™ software automates screening across federal and state lists, including Nebraska Medicaid, OIG LEIE, and GSA/SAM. Key features include daily updates, advanced algorithms to handle inconsistent data formats and duplicate names, and scalability for organizations of all sizes. Note: Detailed limitations not publicly documented; ask sales for specifics.
How does Exclusion Screening's SAFER™ software improve compliance?
The SAFER™ software automates exclusion screening, updating daily with new federal and state database information. It uses advanced algorithms to reduce false positives and negatives, handles inconsistent data formats, and scales to meet the needs of both small practices and large healthcare systems. Note: The software is designed for automation and accuracy, but detailed limitations are not publicly documented; ask sales for specifics.
How quickly can Exclusion Screening be implemented?
New clients can begin screening within 1 day, which is faster than many other vendors. The SAFER™ software is designed for easy integration and automation, eliminating the need for extensive manual effort or technical expertise. Dedicated support from compliance specialists is available to ensure a smooth setup. Note: Best fit for organizations seeking rapid implementation; teams needing custom integrations may want to confirm compatibility.
Pricing & Plans
How is Exclusion Screening's pricing determined?
Exclusion Screening's pricing is competitive and customized based on the specific monitoring lists and the volume of screenings required by the organization. This tailored approach ensures cost-effectiveness and scalability for organizations of all sizes. To receive a personalized quote, fill out the form on the contact page. Note: Pricing details are not publicly listed; request a quote for specifics.
Use Cases & Benefits
Who can benefit from Exclusion Screening's services?
Healthcare providers—including small practices, large healthcare systems, hospitals, clinics, and organizations with extensive vendor networks—can benefit from Exclusion Screening's automated compliance solutions. Roles such as compliance officers, risk managers, legal teams, and operational managers are primary users. Note: Best fit for organizations with ongoing Medicaid billing or high compliance risks; teams outside healthcare may require alternative solutions.
What business impact can customers expect from using Exclusion Screening?
Customers can expect improved compliance, reduced risk of penalties, cost savings through automation, operational efficiency, and enhanced integrity via secure fraud reporting channels. The SAFER™ software streamlines exclusion checks, allowing organizations to focus on core operations. Note: Impact depends on proper implementation and ongoing screening; organizations with unique compliance needs should confirm fit.
Technical Requirements & State Variations
Which states do not maintain a separate Medicaid exclusion list?
The seven states that do not maintain a separate Medicaid exclusion list are New Mexico, Virginia, Oklahoma, Rhode Island, South Dakota, Utah, and Wisconsin. These states typically treat the OIG’s List of Excluded Individuals and Entities (LEIE) as their primary list. Note: Always verify state requirements as regulations may change. See all state Medicaid exclusion lists.
Customer Proof & Case Studies
Are there case studies showing the impact of exclusion screening?
Yes. Exclusion Screening provides a case study focused on the laboratory services industry, detailing a Texas-based laboratory services company involved in submitting false claims and the importance of thorough exclusion screening. Read the full case study: OIG Exclusion Case Study: The Impact of a False Claims Act Judgment. Note: Additional case studies for other industries are not publicly documented; contact Exclusion Screening for more information.
New ReportScreening Failures & Their Financial Fallout — $26M in penalties and how to avoid them. Download the report →
Nebraska Department of Health and Human Services maintains the Nebraska DHHS Program Integrity Sanctioned Providers — 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.
Nebraska at a glance
Official list name
Nebraska DHHS Program Integrity Sanctioned Providers
Each settlement below started with one missed exclusion check. All were preventable. Don’t let your organization become the next example.
Nebraska 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.
Is the Nebraska DHHS Program Integrity Sanctioned Providers the same as the OIG LEIE?
No. The OIG LEIE is the federal exclusion list covering Medicare, Medicaid, and all federal health programs. The Nebraska DHHS Program Integrity Sanctioned Providers is separate and covers providers excluded or terminated from Nebraska Medicaid specifically. Providers must screen both, along with GSA/SAM.
How often do I need to screen against the Nebraska DHHS Program Integrity Sanctioned Providers?
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 Nebraska list if I’m not located in Nebraska?
Yes — if you bill Nebraska Medicaid or employ Nebraska-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.
