UNM HSC Compliance Office

OIG/GSA/SDN Exclusions

Doctor with XRays (photo credit - Microsoft)

The Social Security Act provides the authority to exclude health care providers, individuals, and businesses who have engaged in fraud or abuse from receiving payment for services under Medicare, Medicaid and other Federal health care programs.
The Office of Inspector General (OIG) maintains the list of parties excluded from participating in Federal health care programs.
The General Services Administration (GSA) identifies those who are excluded throughout the U.S. Government from receiving Federal contracts and from Federal financial and nonfinancial assistance and benefits.
Federal regulations under Homeland Security now also require that business entities check a list called Specially Designated Nationals and Blocked Persons (SDN).

The Office of Foreign Assets Control (OFAC) of the US Department of the Treasury administers and enforces economic and trade sanctions based on US foreign policy and national security goals against targeted foreign countries, terrorists, international narcotics traffickers, and those engaged in activities related to the proliferation of weapons of mass destruction. OFAC acts under Presidential wartime and national emergency powers, as well as authority granted by specific legislation, to impose controls on transactions and freeze foreign assets under US jurisdiction. Many of the sanctions are based on United Nations and other international mandates, are multilateral in scope, and involve close cooperation with allied governments.
It is the health care provider's responsibility to check the lists from the OIG, GSA and SDN programs to ensure that no payments or costs are being submitted for employees, physicians, consultants or businesses that have been excluded or sanctioned.

OIG/GSA/SDN Exclusions

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