States Reinforce CMS Exclusion Guidelines

August 17, 2009 at 4:03 pm 9 comments

In January, 2009, the Centers for Medicare & Medicate Services (CMS) released a State Medicaid Director Letter (SMDL #09-001) clarifying and reminding States of the requirements and consequences of payments to excluded individuals and entities.

Since then, states have been at work communicating the same requirements either under their own letterhead or by re-post.  A quick scan of the internet shows communications from:

  • Alabama
  • Iowa
  • Kentucky
  • Louisiana
  • Maryland
  • Nebraska
  • Nevada
  • Oklahoma
  • Rhode Island
  • South Carolina
  • Virginia

I’m sure there are more.  But whether it was a reTweet from your state or you saw it directly from HHS, two key points remain:

Sets forth the Centers for Medicare & Medicaid Services’ (CMS) policy with respect to States’ responsibility to communicate to providers their obligation to screen employees and contractors for excluded individuals and entities both prior to hiring or contracting and on a periodic basis (emphasis added)

States should require providers to search the HHS-OIG website monthly (emphasis added) to capture exclusions and reinstatements that have occurred since the last search. 

Entry filed under: HHS OIG LEIE, Medicare/Medicaid CMS. Tags: , .

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