OIG Review of State Medicaid Fraud Control

The OIG recently recently its 2012 review of the Louisiana State Medicaid Fraud Control Unit.  Among other findings, the review found that 14% of sentenced providers were not referred to the OIG for exclusion within the appropriate time period (“30 days or other reasonable time period” according to Performance Standard 8(d)).  These providers were not reported to the OIG until after the review.


This lag time between state and OIG exclusion puts employers at risk.  Under Title VI of the  Affordable Care Act, providers excluded from one state program will be excluded from all state and federal programs. This report by the OIG underscores the reality that searching the OIG-LEIE on a monthly basis is not enough.


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