Exclusions Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at firstname.lastname@example.org .
OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE). Anyone who hires an individual or entity on the LEIE may be subject to civil monetary penalties (CMP). To avoid CMP liability, health care entities should routinely check the list to ensure that new hires and current employees are not on it.
The updated LEIE is a complete database containing all exclusions currently in effect. Individuals and entities who have been reinstated are not included in this file . This file is replaced with an updated version each month.
To help protect these recipients, OIG may prevent certain people or businesses from participating as service providers. The people or businesses who are excluded from participating as providers are added to the Texas Exclusions List. A person, or entity, may be excluded for many reasons. These include, but are not limited to:
Conviction of second mandatory exclusion offense. Minimum Period: 10 years: 1128(c)(3)(G)(ii) 1320a-7(c)(3)(G)(ii) Conviction of third or more mandatory exclusion offenses. Permanent Exclusion
Permissive exclusions: OIG has discretion to exclude individuals and entities on a number of grounds, including (but not limited to) misdemeanor convictions related to health care fraud other than Medicare or a State health program, fraud in a program (other than a health care program) funded by any Federal, State or local government agency; misdemeanor convictions relating to the unlawful manufacture, distribution, prescription, or dispensing of controlled substances; suspension, revocation ...
The HHS OIG's contractor self-disclosure program provides a means for contractors to self-disclose potential violations of the False Claims Act and various Federal criminal laws involving fraud, conflict of interest, bribery or gratuity.
The LEIE is a complete list of all currently excluded individuals and entities that have been excluded by OIG pursuant to sections 1128 and 1156 of the Social Security Act. The NPDB's Public Use File contains NPDB data specified under Titles IV of Public Law 99 660 and Section 1921 of the Social Security Act.
HHS-OIG is the largest inspector general's office in the Federal Government, with more than 1,600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of the OIG's resources goes toward the oversight of Medicare and Medicaid.