Exclusion Screening

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Recent OIG Penalties & Affirmative Exclusions

Children’s Hospital of Philadelphia Agreed to Pay $23,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Individual Excluded from Pennsylvania Medicaid

May 15, 2025 – After it self-disclosed conduct to OIG, The Children’s Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania, agreed to pay $23,321.34 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CHOP employed an individual that it knew or should have known was excluded from participation in the Pennsylvania Medicaid program and that no Pennsylvania Medicaid program payments could be made for items or services the individual furnished.

Community Mental Health Affiliates Agreed to Pay $130,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

May 12, 2025 – After it self-disclosed conduct to OIG, Community Mental Health Affiliates (CMHA), New Britain, Connecticut, agreed to pay $130,240.98 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that CMHA employed an individual that it knew or should have known was excluded from participation in Federal health care programs. In addition, CMHA charged the individual’s salary expenses to a Substance Abuse and Mental Health Services Administration award, which were unallowable because the individual was excluded.

Baptist Health Medical Group Agreed to Pay $47,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

April 16, 2025 – After it self-disclosed conduct to OIG, Baptist Health Medical Group, Inc. (BHMG), Louisville, Kentucky, agreed to pay $47,553.54 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that BHMG employed an individual that it knew or should have known was excluded from participation in Federal health care programs.

Benedictine Living Community Crookston Agreed to Pay $247,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

February 24, 2025 – After it self-disclosed conduct to OIG, Villa St. Vincent d/b/a Benedictine Living Community | Crookston, (BLC), Crookston, Minnesota, agreed to pay $247,607.44 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that BLC employed an individual that it knew or should have known was excluded from participation in Federal health care programs.