Should Medicare and Medicaid Providers and Suppliers Screen Against the OFAC Sanction List?
One question that is regularly asked by Exclusion Screening clients is whether a health care provider or supplier…
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Interactive Guide To State Medicaid Exclusion Lists
The 44 state Medicaid exclusion lists — each state's program name, issuing agency, file format, and the screening obligations providers have to meet. By former DOJ Health Care Fraud Coordinator Paul Weidenfeld.
A Provider’s Guide to New York Medicaid Exclusion Screening
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that they can avoid the risks associated with employing or doing business with excluded parties.
Pennsylvania Medicheck Preclusion List: A Provider’s Guide to Screening
Pennsylvania Department of Human Services maintains the Pennsylvania Medicheck Preclusion List — a separate Medicaid exclusion list providers…
About the Medi-Cal Suspended and Ineligible Provider List
California’s Medi-Cal Suspended and Ineligible Provider List is Designed to Safeguard Beneficiaries and Protect the Financial Integrity of…
North Carolina Exclusion Screening Requirements
North Carolina Division of Health Benefits maintains the North Carolina Medicaid Provider Sanctions List — a separate Medicaid…
Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) — The Collateral Consequences of a State Medicaid Enrollment Termination Action
Exclusion Actions Under 42 U.S.C. § 1320a-7(b)(5)(B) (November 2020): Since 1976, the Department of Health and Human Services…
Exclusion Loophole: Medicaid Managed Care
In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for cause were…