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Wednesday, November 4, 2026 · Updated 1:03 PM MT · 73 stories today
Wed, Nov 4 · 73 stories todayPRO
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LegalNovember 4, 2026

OIG Updates Exclusions FAQs on CMS's Expanded Exclusion Authority

The HHS Office of Inspector General updated its Exclusions FAQs to explain how CMS's expanded authority to exclude individuals and entities from federal health care programs interacts with OIG's existing exclusion process. The guidance affects providers, suppliers, and entities participating in Medicare and Medicaid, clarifying how the two agencies' exclusion powers now overlap and what compliance teams should expect. Thompson Coburn LLP's client alert summarizes the update but does not report a specific effective date for the new CMS authority itself. The clarification matters because providers and Medicaid managed care plans must track both OIG and CMS exclusion lists to avoid employing or contracting with excluded parties.

Why it mattersProviders and Medicaid MCOs face compliance exposure if they fail to screen against both OIG and CMS exclusion authorities when vetting employees, contractors, and network providers.

Managed Care

Read the full article at jdsupra.com →
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