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North Dakota ND Medicaid Fraud/Abuse Sanctions: A Provider’s Guide to the North Dakota Medicaid Exclusion List

North Dakota maintains a separate Medicaid exclusion list, the ND Medicaid Fraud/Abuse Sanctions. Healthcare providers that operate in North Dakota or that hire employees licensed in North Dakota 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 North Dakota 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: http://www.nd.gov/dhs/services/medicalserv/medicaid/fraud-abuse.html

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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