Waivers
OIG has the authority to waive an individual's or entity's exclusion from participation in Federal health care programs.
An individual or entity excluded under sections 1128(a)(1), (a)(3) or (a)(4) of the Act may be eligible for a waiver only when the excluded individual or entity is the sole community physician or the sole source of essential specialized services in a community AND the exclusion would impose a hardship on beneficiaries (as defined in section 1128A(i)(5) of the Act) of that program. An individual or entity excluded under section 1128(a)(2) of the Act as a result of a conviction related to patient abuse or neglect is not eligible for a waiver. See 42 CFR 1001.1801(a)-(b).
For an individual or entity excluded under OIG's permissive exclusion authorities (section 1128(b) of the Act), a waiver may only be granted if OIG determines that imposition of the exclusion would not be in the public interest. See 42 CFR 1001.1801(c).
A waiver may only be requested by the administrator of a Federal health care program. Excluded individuals or entities may not request a waiver from OIG.
The current waivers in effect are listed below. Unless otherwise specified, all waivers permit the individual or entity to participate in Medicare, Medicaid and all other Federal health care programs, subject to the limitations described below and in each waiver letter. Please read the attached letters to obtain further details about the scope of each waiver.
| Individual/Entity | Description | State | Effective |
|---|---|---|---|
| Antoon, Patrick M.D. | This waiver is effective for all items and services he furnishes, orders and prescribes as a medical doctor specializing in primary and family care physician services in Lafayette County, Arkansas. | AR | 04-29-2014 |
| Aswad, Mohamed Basel, M.D. | The waiver and expansions have been rescinded. | NM | 08-22-2022 |
| Jeffrey Loren Fraser, M.D. | This waiver applies to the Nebraska Medicaid Program with respect to items and services furnished, ordered or prescribed in Hamilton County, Nebraska. | NE | 05-19-2023 |
| Jeffrey Loren Fraser, M.D. | This waiver only applies to the North Carolina Medicaid Program with respect to items and services furnished, ordered or prescribed as an employee of G&G; Healthcare P.C., in the practice location in Cerro Gordo, North Carolina. | NC | 03-24-2023 |
| Kotheimer, M.D., Gregory C. | This waiver is effective for items and services furnished, ordered, or prescribed in the Commonwealth of the Northern Mariana Islands. | CNMI | 08-20-2010 |
| Lentz, Randy S., M.D. | This waiver is effective for all physician services permitted under his licensure and consistent with the Georgia Medicaid State Plan as a medical doctor in Brantley, Camden, Charlton, Ware, Pierce, Wayne, Glynn, McIntosh, Long, Liberty and Tatnall counties in Georgia under the Medicare, Medicaid and all Federal health care programs. | GA | 09-17-2014 |
| Miranda, Eduardo, M.D. | This waiver is effective for all items and services that he furnishes, orders and prescribes as a medical doctor in the following counties of Texas. Those counties are: Kinney, Uvalde, Bandera, Kendall, Comal, Guadalupe, Wilson, Karnes, Goliad, Victoria, Calhoun, Medina, Maverick, Zavala, Frio, Atascosa, Dimmitt, La Salle, McMullen, Live Oak, Bee, Webb, Duval, Jim Wells, San Patricio, Nueces, Zapata, Jim Hogg, Brooks, Kenedy, Starr, Hidalgo, Willacy and Cameron. | TX | 06-18-2015 |
|
Waiver Rescinded - Patwardhan, M.D., Vinod Chandrashekhar |
The waiver and expansion is rescinded.
|
CA
|
05-30-2015 07-20-2011, expanded 12-20-2011 |
| Pickens, M.D., Cory L | This waiver is effective for all covered neuroanesthesiology items and services furnished, ordered or prescribed at Benefis Hospital, Great Falls, Montana. | MT | 11/15/2011 |
| Spece, Sue | This waiver is effective for Iowa Medicaid CDAC services provided by Ms. Spece for her 3 adult children living in her home. | IA | 04-20-2020 |
| Trauger, D.C., Gary L. | This waiver is effective for claims for covered items or services furnished in the State of North Dakota. | ND | 10-31-1994 |
| Union County Medical Center, Inc. | This waiver is effective for all items and services furnished, ordered, or prescribed at UCMC in Union County, New Mexico. | NM | 06-18-2009 |