Medicaid Providers Should Screen Employees & Contractors to Avoid Billing for Services Provided by Excluded Individuals or Entities

OPEN MINDS Weekly News Wire Strategic Health Care News Medicaid service providers should screen their employees and contractors for persons who are excluded from providing Medicaid services. Billing for items and services provided by excluded individuals, entities, and suppliers used to provide direct or indirect care for Medicaid beneficiaries, will be considered an overpayment and states will be required to refund the federal portion of Medicaid funds paid to excluded providers. The federal ban on payments to excluded providers applies to all methods of reimbursement, and can include direct and indirect services and items supplied by excluded manufacturers. The federal . . .