Change Font Size Skip to Navigation

Special Advisory Bulletin and Other Guidance

Special Advisory Bulletin

The Effect of Exclusion From Participation in Federal Health Care Programs
Special Advisory Bulletin | September 1999

Text  |  News Release

The Office of Inspector General (OIG) issues Special Advisory Bulletins about industry practices or arrangements that potentially implicate the fraud and abuse authorities subject to enforcement by OIG. In order to assist all affected parties in understanding the breadth of the payment prohibitions that apply to items and services provided to Federal program beneficiaries, this Special Advisory Bulletin provides guidance to individuals and entities that have been excluded from Federal health care programs, as well as to those who might employ or contract with an excluded individual or entity to provide items or services reimbursed by a Federal health care program.


Guidance for Implementing Permissive Exclusion Authority Under Section
1128(b)(15) of the Social Security Act

This notice sets forth nonbinding factors the Office of Inspector General (OIG) will consider in deciding whether to impose permissive exclusion in accordance with section 1128(b)(15)(A)(ii) of the Social Security Act, which authorizes OIG to exclude an officer or managing employee of an entity that has been excluded or has been convicted of certain offenses.

Criteria for Implementing Permissive Exclusion Authority Under Section
1128(b)(7) of the Social Security Act

This notice sets forth the non-binding guidelines, to be used by the OIG in assessing whether to impose a permissive exclusions in accordance with section 1128 (b) (7) of the Social Security Act.


Back to Exclusions

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201