Understanding California Exclusion Screening Requirements

Two main databases, the List of Excluded Individuals/Entities (LEIE) – managed by the Office of the Inspector General (OIG) at Health and Human Services (HHS) – and the System for Award Management offer guidance on providers, individuals, and organizations that are barred from receiving payments from the federal government for committing certain violations. Some states, including California, have their own exclusion databases for individuals or entities participating in state benefit programs, such as Medicaid. Violating these state and federal laws will require repayment, as well as: the suspension of the submission for payment for any services or supplies the provider has provided under the program, and the suspension of claim submission by any clinic, group, corporation or other association for any services or supplies provided by the person within the organization who has been suspended or revoked by the director.

 

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Post By Ken Shafton (698 Posts)