Georgia OIG Exclusions List
Overview and guidance for this database. Use SecureEPLS to screen quickly and confidently.
The list of individuals excluded from participating in the Georgia Medical Assistance Program under Title XIX
of The Social Security Act of 1935, as amended, and O.C.G.A. §§ 49-4-140 et seq. (The "Medicaid Program").
Providers are required to immediately report to the Department of Community Health, Provider Enrollment Section,
any exclusion information discovered among employees or contractors.
- Why it matters: Services ordered, referred, or rendered by excluded parties are
non‑payable; employing or contracting with excluded providers risks recoupment and civil monetary penalties.
- What to verify: Legal name and aliases, NPI/Medicaid ID, license/board status, date of
birth (if available), last known city/state, and exclusion effective/end dates.
- Update cadence: Typically updated monthly by the state. Record the file’s “as of” date and
screen at hire and monthly thereafter.
- Compliance tips:
- Cross‑check with OIG LEIE and SAM.gov and retain dated evidence of each search.
- Add system blocks to prevent ordering/prescribing by excluded providers.
- Document remediation steps for positive matches (schedule removal, claim holds, notifications).
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