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What happens if you employ an excluded provider?

Reviewed against the source · HHS Office of Inspector General, SAM.gov

According to HHS-OIG, an organization that employs or contracts with a person it knows or should know is excluded may be subject to civil monetary penalties and to overpayment liability, because Federal health care programs do not pay for items or services furnished by an excluded person. The overpayment liability covers items or services furnished by the excluded person for which the provider received Federal health care program reimbursement, which can mean repaying claims already billed.

Does this apply to non-clinical staff?

Yes, where the services are payable by Federal health care programs. HHS-OIG's bulletin states that an excluded individual may not provide administrative and management services — it lists health information technology services and support, strategic planning, billing and accounting, staff training, and human resources — unless wholly unrelated to Federal health care programs. It also lists transportation services paid for by Federal health care programs. It is not limited to clinicians providing direct care.

Does OIG recommend recurring screening?

Yes, as a recommendation rather than a requirement. OIG recommends checking the LEIE before employing or contracting and screening monthly, and states that providers are not required by statute or regulation to check the LEIE. See how often to screen.

Sources

Where this page says “our characterisation,” “our reasoning,” or “we measured,” the statement is CFExclusion's own rather than a government source's. CFExclusion is a private service and is not affiliated with HHS, OIG, CMS, or SAM.gov.

Check a name

Looking for a specific name? Search the HHS-OIG LEIE, SAM.gov exclusions, and Medicaid exclusion lists from 41 states — free, with no signup for your first 3 searches a day.

Adding a state or NPI lets us confirm a match with more confidence.

A $25 report turns that search into a dated, signed record: proof this name was checked against all 43 sources — HHS-OIG LEIE, SAM.gov, and 41 state Medicaid lists — on a specific date, clear or not. See a sample report →

A single check is a snapshot: HHS-OIG replaces the LEIE around the middle of every month, so a result from last month no longer reflects who's on the list today. OIG's own guidance recommends screening your full workforce and vendors on that same monthly cycle — a best practice it states plainly, not a legal mandate. What OIG's guidance actually says about monthly screening → · See the monthly screening service →

For new federal enforcement actions and court records every day, see CourtPulse (courtpls.com).

More guides

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