The state of Nevada maintains the Nevada Medicaid Provider Sanctions/Exclusions — 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.
Nevada at a glance
| Official list name | Nevada Medicaid Provider Sanctions/Exclusions |
| Format | Online searchable list |
| Screening cadence | Monthly (CMS SMDL #08-003 and #09-001) |
| Official source | View Nevada’s official list → |
Recent cases from across Nevada
Each settlement below started with one missed exclusion check. All were preventable. Don’t let your organization become the next example.
November 2023 · Nevada · Home health
$263,992 — A home health agency settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →
August 2022 · Nevada · Hospital
$250,464 — A hospital settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →
August 2022 · Nevada · Healthcare services
$33,855 — A healthcare organization settled with OIG for employing an excluded individual. Read the OIG settlement →
May 2021 · Nevada · Private practice
$13,526 — A medical practice settled with OIG for employing an excluded individual. Read the OIG settlement →
April 2021 · Nevada · Medical center
$10,593 — A hospital settled with OIG for employing an excluded individual. 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.
Nevada-specific FAQs
Is the Nevada Medicaid Provider Sanctions/Exclusions the same as the OIG LEIE?
No. The OIG LEIE is the federal exclusion list covering Medicare, Medicaid, and all federal health programs. The Nevada Medicaid Provider Sanctions/Exclusions is separate and covers providers excluded or terminated from Nevada Medicaid specifically. Providers must screen both, along with GSA/SAM.
How often do I need to screen against the Nevada Medicaid Provider Sanctions/Exclusions?
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 Nevada list if I’m not located in Nevada?
Yes — if you bill Nevada Medicaid or employ Nevada-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.
