District of Columbia OIG/SAM Search Compliance Programs
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FAQ
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.
OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.
The effect of an OIG exclusion, and appearance on the General Services Administration's System for Award Management (SAM) website as a result of such exclusion, is that no payment will be made by any Federal health care program for items or services furnished, ordered, or prescribed by the excluded individual in any
Mandatory exclusions are enforced by law and require the OIG to exclude an individual or entity when they are convicted for committing felony crimes Medicare or Medicaid fraud, or other felony offenses related to state or federal health care programs; felony convictions related to controlled substances; or
The System for Award Management (SAM) is a US government portal for businesses, organizations, and federal agencies to win government contracts. However, its lists of excluded individuals and entities can also help healthcare employers with hiring decisions.
An exclusion screening solution ensures screening of all employees, vendors, and subcontractors against the OIG exclusion list and SAM exclusion list prior to hiring or contracting, followed by regular screenings afterward.
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.
How to Get Off the OIG Exclusion List?Send a written request containing: Individual's or entity's full name (if excluded under a different name, also include that name)Fax or email the request to the OIG at (202) 691-2298 or sanction@oig.hhs.gov.If eligible, the OIG will send statement and authorization forms.
The primary difference between the OIG LEIE and SAM.gov is that the former only consists of exclusion actions taken by the HHS OIG, and the latter consists of debarment actions taken by various Federal agencies.
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.
