Frequently asked questions
Questions about this answer
- Is the LEIE a complete exclusion history?
- No. The published file is the dated active-exclusions list, and reinstated parties are removed.
- What are the two types of OIG exclusions?
- Mandatory exclusions under section 1128(a) of the Social Security Act, with a 5-year minimum for a first offense, and permissive exclusions under section 1128(b), where OIG has discretion and minimum periods vary by ground.
- What are common reasons for OIG exclusion?
- Mandatory grounds include convictions for Medicare or Medicaid fraud, patient abuse or neglect, felony health-care fraud, and felony controlled-substance offenses. Permissive grounds include license suspension or revocation, unlawful kickback arrangements, and defaulting on health education loans.
- How does an excluded party get off the exclusion list?
- By applying for reinstatement. HHS-OIG states reinstatement is not automatic when the exclusion period ends: the party must send a written request and receive written notice that reinstatement has been granted before rejoining federal health care programs.