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  • Oig / Epls Verification Form - Home And Health Care ...

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Homeandhealthcaremgmt. com Email info homeandhealthcaremgmt. com OIG / EPLS VERIFICATION FORM An Equal Employment Opportunity Employer PLEASE PRINT AND COMPLETE IN FULL AND INCLUDE WITH EMPLOYEE APPLICATION FORM In order to work for Home and Health Care Management we must perform as part of our background check verification that your name is not listed on the Excluded Party Listing Service EPLS as well as the Office of Inspector General OIG list.

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How to fill out the OIG / EPLS verification form - Home and Health Care online

Filling out the OIG / EPLS verification form is an essential step for those seeking employment with Home and Health Care Management. This guide provides clear instructions on completing the form online to ensure a smooth verification process.

Follow the steps to fill out the OIG / EPLS verification form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in your web browser.
  2. Begin by entering your last name in the designated field.
  3. Next, complete the first and middle name fields with your full legal name.
  4. If you have any other names under which you have been educated or employed, list them in the provided section.
  5. Fill in your primary telephone number and any additional contact number if applicable.
  6. Provide your social security number in the specified format, ensuring to use the correct number of digits.
  7. Enter your birth date in the required month/day/year format.
  8. Review all the information you have entered for accuracy and completeness.
  9. Finally, save your changes, download, print, or share the form as required.

Complete your documents online today to facilitate your employment process.

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According to the OIG, the List of Excluded Individuals/Entities (LEIE) provides information to the health care industry, patients and the public regarding individuals and entities currently excluded from participation in Medicare, Medicaid, and all other Federal health care programs. Individuals and entities are ...

The Office of the Inspector General (OIG) accesses nationwide records contained in The United States Department of Health and Human Services Office of the Inspector General Sanction database. Individuals on the List of Excluded Individuals and Entities (LEIE) are barred from participating in federal health care plans.

OIG Exclusions. Exclusion screening is the process of verifying that a current or potential employee is not classified as an excluded individual who is prohibited from participation in any Federal healthcare program. The OIG imposes exclusions under the authority of sections 1128 and 1156 of the Social Security Act.

What is an OIG Search? An OIG Search identifies individuals or entities that have been excluded from participation in Medicare, Medicaid or other federal healthcare programs. When/if an individual or an entity is restored back to the program and the exclusion is lifted, they will be removed from the list.

A Healthcare Sanctions Check searches the OIG Exclusion list and the System for Award Management (SAM) and will alert you if your candidate is sanctioned. In addition to indicating whether the individual is on the list, you'll also learn: The name of the source or board that took the disciplinary action.

Completing a GSA/OIG background check is the first line of defense for any health care provider that receives federal funds. Providers who appear on an exclusion list are not eligible for payments or reimbursements, and any payments made to these providers put the organization at risk.

Individual's or entity's full name (if excluded under a different name, also include that name) Date of birth for an individual. Telephone number. Email address. Mailing address.

How often should exclusion list screening be performed? You should be checking all employees, vendors, and subcontractors against the exclusion list prior to hiring or contracting and then recheck monthly thereafter.

Therefore, to stay current on excluded individuals and entities, providers need to screen their workforce members and vendors on a monthly basis. Checking the LEIE can be done by using the OIG portal or by downloading the LEIE database to perform a OIG check or OIG search.

Exclusions. The Office of Inspector General's List of Excluded Individuals/Entities (LEIE) provides information to the health care industry, patients and the public regarding individuals and entities currently excluded from participation in Medicare, Medicaid, and all other Federal health care programs.

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Fill OIG / EPLS VERIFICATION FORM - Home And Health Care ...

OIG has the authority to exclude individuals and entities from Federally funded health care programs. Visit our tips page to learn how to best use the Exclusions Database. The two major federal sources that need to be screened for exclusions are the OIG LEIE and SAM. Gov (formerly known as EPLS and GSA). The HHS OIG Exclusions List is a database of individuals and organizations that are prohibited from participating in federal health care programs. The Excluded Parties List System (EPLS) is one of the data bases that have been consolidated into the new SAM system. The OIG suggests that providers maintain documentation of all searches performed in order to verify the results of potential name matches.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232