Q: How long does OIG & states (Maine) have to put someone on MaineCare/Medicaid exclusion list AFTER RN license Recovation
How long does the federal government (OIG) and individual states have to place someone on the Medicaid/Medicare exclusion list due to their professional RN license being revoked? In other words, how long AFTER the the date the person’s license is revoked do the Feds/State have to place this person on the Medicaid/Medicare Exclusion list resulting from RN license recovation?
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A:
The Office of Inspector General (OIG) is tasked with maintaining the List of Excluded Individuals/Entities (LEIE) under which individuals and entities are excluded from participating in federally funded healthcare programs, including Medicare and Medicaid.
When an RN has their license revoked, they can be excluded from these programs. There isn't a specific time frame set in the federal law that mandates how soon after license revocation the OIG must place someone on the exclusion list. However, once the OIG becomes aware of the revocation, they typically act promptly.
On the state level, the process and timing might vary. In Maine, for example, the state Medicaid program will have its own protocols and timing for exclusions based on professional licensure revocation. It is best to regularly check both federal and state exclusion databases following any licensure issues.
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