Simultaneously search Alabama Suspended Providers, OIG Exclusions, SAM.gov, and all other State Exclusion Lists at once.
Enter an NPI number, license number, or provider name in the search field below to search the exclusions.
Alternatively, you can also search the Provider Profiles.
Alabama Exclusion Screening Requirements
Providers excluded by the OIG or terminated by a State Medicaid Agency cannot participate in federally funded healthcare programs. This includes Medicaid, TRICARE, and the Children’s Health Insurance Program (CHIP). Additionally, the Centers for Medicare & Medicaid Services (CMS) can revoke billing privileges, prohibiting the provider from participating in Medicare.
Providers are liable for overpayments made for any items or services provided by any excluded person for which the provider received reimbursement from federal healthcare programs. Additionally, the provider may face Civil Monetary Penalties (CMP) if they fail to ensure that proper exclusion screening has been conducted.
The Alabama Medicaid Program Integrity Division is responsible for identifying, preventing, and prosecuting fraud, abuse, and misuse in the public healthcare programs.
Section 7.3.1 in the Alabama Provider Billing Manual states that Providers Must Screen for Excluded Individuals participating in or applying to participate in the Medicare and Medicaid programs by searching the following exclusion lists monthly to ensure existing employees or contractors, and new hires have not been excluded from participation:
- Alabama Suspended Providers List
- Health & Human Services (HHS) Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE)
- General Services Administration (GSA) System for Award Management (SAM)
Save Time & Money and Take the Stress out of Exclusions Screening
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- Maintain compliance with federally funded healthcare programs.
- Avoid Civil Monetary Penalties.
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- Comprehensive and audit-ready Exclusions Report.
Non-compliance can be severe!
- Required repayment of claims.
- Costly Civil Monetary Penalties.
- Loss of access to federally funded healthcare programs.
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