Working with Federal and State Partners
HHS-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. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe.
Federal agencies, MFCUs, and other state partners use the Exclusion Referrals portal to submit the necessary documentation on individuals or entities who should be considered for exclusion.