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Medicaid Sanctions
OIG Excluded Parties

Medicaid Sanctions Search
Providers involved in federal health care programs including Medicare, Medicaid, and all other plans and programs that provide health benefits funded directly or indirectly by the Federal Government (other than the Federal Employees Health Benefits Plan) are subject to OIG staff screening requirements.

Medicaid Sanctions, OIG Excluded Parties List searches are sometimes referred to as Medicare Sanction searches.
Why Do Medicaid Sanctions Searches
Applicants and staff found on the OIG list of excluded parties are excluded from participating in Medicaid, Medicare and other direct or indirectly federally funded health care programs. A Medicaid Sanctions search is an essential part of any background check for staff involved directly or indirectly in any of these programs.

What are the Sources for Medicaid Sanctions Searches?
We search the OIG (Office of Inspector General) Exclusions Database, which is updated every 30 days.

What are the Weaknesses of a Medicaid Sanctions Search?
As with all database searches, the Medicaid Sanctions search is incomplete by nature. It is only as reliable as its last update. A Medicaid Sanctions search also only provides information on individuals who have misused funds or who have fraudulently obtained assistance from Medicaid, Medicare, and other federally funded health care programs. It should not be viewed as a complete criminal background search.

How Long Does it Take for a Medicaid Sanctions Search?
A Medicaid Sanctions search should be available for viewing within one business day of the order date.

Can I See a Sample Medicaid Sanctions Report?
Yes, click Sample Medicaid Sanctions Report.

What is Our Recommendation for Medicaid Sanctions Searches?
Because individuals with OIG sanctions are excluded from participating in Medicaid, Medicare and other directly or indirectly federally funded health care programs, an Employee Screening Policy in compliance with OIG guidelines is essential. See Guidelines and Sample Policies: Medicaid Sanctions. A Medicaid Sanctions search is important for new employees, volunteers, visiting staff and contracted employees in related functions. For existing staff the OIG reports that there is no statutory or regulatory requirement for how often employers conduct periodic Medicaid Sanction searches (the OIG does state that "screening employees and contractors each month best minimizes potential overpayment and CMP [civil money penalties] liability").

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