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<!DOCTYPE html> <html> <head>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-W5DCJS81Y5"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-W5DCJS81Y5'); </script> <meta name="language" content="English"> <meta http-equiv="Content-Type" content="text/html;charset=ISO-8859-1"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <link rel="stylesheet" href="/uswds/css/uswds.css"> <link rel="stylesheet" media="print" href="/uswds/css/print.css"> <link rel="shortcut icon" href="/images/favicon.ico" type="image/x-icon" /> <meta name="viewport" content="width=device-width, initial-scale=1"> <script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.4.2/jquery.min.js"></script> <script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script> <script type="text/javascript" src="/uswds/js/rotator.js"></script> <script type="text/javascript" src="/uswds/js/subnav.js"></script> <script type="text/javascript" src="/uswds/js/jquery.sticky-kit.min.js"></script> <link rel="stylesheet" href="/uswds/js/jquery.fancybox.min.css" /> <script type="text/javascript" src="/uswds/js/jquery.fancybox.min.js"></script> <script type="text/javascript" src="/layout/js/tooltip/jquery.qtip.js"></script> <script type="text/javascript" src="/uswds/js/audioplayer.min.js"></script> <link rel="stylesheet" href="/uswds/js/audioplayer.css" /> <script type="text/javascript" src="/uswds/js/tooltipster/js/tooltipster.bundle.min.js"></script> <link rel="stylesheet" href="/uswds/js/tooltipster/css/tooltipster.bundle.min.css" /> <script type="text/javascript" src="/uswds/js/readmore.js"></script>  <script>$( function() { $( 'audio' ).audioPlayer(); } );</script> <script> $( function() { $(".sticker").stick_in_parent(); } ); </script> <script type="application/ld+json"> { "@context" : "http://schema.org", "@type" : "Organization", "name" : "HHS-OIG", "url" : "https://oig.hhs.gov", "sameAs" : [ "https://www.facebook.com/OIGatHHS/", "https://twitter.com/OIGatHHS/", "https://www.youtube.com/user/OIGatHHS", "https://www.linkedin.com/company/hhs-office-of-the-inspector-general"] } </script> <title>Corporate Integrity Agreements | Healthcare Compliance | Office of Inspector General | U.S. Department of Health and Human Services</title> <meta name="keywords" content="corporate integrity agreement, civil false claims, medicaid fraud, medicare fraud, healthcare agreements, healthcare provider, corporate integrity agreement penalty, corporate integrity agreement list, government oversight" /> <meta name="description" content="OIG negotiates corporate integrity agreements (CIA) with health care providers and other entities as part of the settlement of Federal health care program investigations arising under a variety of civil false claims statutes. Providers or entities agree to the obligations, and in exchange, OIG agrees not to seek their exclusion from participation in Medicare, Medicaid, or other Federal health care programs." /> </head> <body>  <noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-JLFR" height="0" width="0" style="display:none;visibility:hidden" title="googletagmanager"></iframe></noscript> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({"gtm.start":new Date().getTime(),event:"gtm.js"});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!="dataLayer"?"&l="+l:"";j.async=true;j.src="//www.googletagmanager.com/gtm.js?id="+i+dl;f.parentNode.insertBefore(j,f);})(window,document,"script","dataLayer","GTM-JLFR");</script>  <a class="usa-skipnav" href="#main-content">Skip to main content</a> <section class="usa-banner"> <div class="usa-accordion"> <header class="usa-banner-header"> <div class="usa-grid usa-banner-inner"> <img src="/uswds/img/favicons/favicon-57.png" alt="U.S. flag"> <p>An official website of the United States government</p> <button class="usa-accordion-button usa-banner-button" aria-expanded="false" aria-controls="gov-banner"> <span class="usa-banner-button-text">Here's how you know</span> </button> </div> </header> <div class="usa-banner-content usa-grid usa-accordion-content" id="gov-banner"> <div class="usa-banner-guidance-gov usa-width-one-half"> <img class="usa-banner-icon usa-media_block-img" src="/uswds/img/icon-dot-gov.svg" alt="Dot gov"> <div class="usa-media_block-body"> <p> <strong>The .gov means it's official.</strong> <br> Federal government websites often end in .gov or .mil. 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Complaint </a> </li> </ul> </div> </div> </nav> </header> <div class="usa-overlay"></div> <main class="usa-grid usa-section usa-content usa-layout-docs" id="main-content" style="padding-top:20px;"> <aside class="usa-width-one-fourth usa-layout-docs-sidenav"> <nav> <div id="subNav"> <ul class="usa-sidenav-list"> <li><a href="/compliance/index.asp">Compliance</a></li> <li><a href="/compliance/compliance-resource-portal/index.asp">Compliance Resource Portal</a></li> <li><a href="/compliance/accountable-care-organizations/index.asp">Accountable Care Organizations</a></li> <li><a href="/compliance/advisory-opinions/index.asp">Advisory Opinions</a></li><li><a href="/compliance/compliance-guidance/index.asp">Compliance Guidance</a></li> <li><a href="/compliance/corporate-integrity-agreements/index.asp">Corporate Integrity Agreements</a></li> <li><a href="/compliance/open-letters/index.asp">Open Letters</a></li> <li><a href="/compliance/rat-stats/index.asp">RAT-STATS</a></li> <li><a href="/compliance/safe-harbor-regulations/index.asp">Safe Harbor Regulations</a></li> <li><a href="/compliance/self-disclosure-info/index.asp">Self-Disclosure Information</a></li> <li><a href="/compliance/alerts/index.asp">Special Fraud Alerts, Bulletins, and Other Guidance</a></li> </ul> </div> </nav> </aside> <div class="usa-width-one-half usa-layout-docs-main_content"> <h1>Corporate Integrity Agreements</h1> <p>OIG negotiates corporate integrity agreements (CIA) with health care providers and other entities as part of the settlement of Federal health care program investigations arising under a variety of civil false claims statutes. Providers or entities agree to the obligations, and in exchange, OIG agrees not to seek their exclusion from participation in Medicare, Medicaid, or other Federal health care programs. </p> <p>CIAs have many common elements, but each one addresses the specific facts at issue and often attempts to accommodate and recognize many of the elements of preexisting voluntary compliance programs. A comprehensive CIA typically lasts 5 years and includes requirements to:</p> <ul> <li> hire a compliance officer/appoint a compliance committee; </li> <li> develop written standards and policies; </li> <li> implement a comprehensive employee training program; </li> <li> retain an independent review organization to conduct annual reviews; </li> <li> establish a confidential disclosure program; </li> <li> restrict employment of ineligible persons; </li> <li> report overpayments, reportable events, and ongoing investigations/legal proceedings; and </li> <li> provide an implementation report and annual reports to OIG on the status of the entity's compliance activities. </li> </ul> <p>CIAs include breach and default provisions that allow OIG to impose certain monetary penalties (referred to as Stipulated Penalties) for the failure to comply with certain obligations set forth in the CIA. In addition, a material breach of the CIA constitutes an independent basis for the provider's exclusion from participation in the Federal health care programs. Information regarding OIG's <a href="/fraud/enforcement/ciae/">enforcement actions under CIAs is available here</a>.</p> </div> <div class="usa-width-one-fourth usa-layout-docs related-content-box"> <h3>Related Information</h3> <ul> <li><a href="/compliance/corporate-integrity-agreements/cia-documents.asp">CIA Documents</a></li> <li><a href="https://oig.hhs.gov/faqs/corporate-integrity-agreements-faq.asp">CIA Frequently Asked Questions</a></li> <li><a href="/compliance/corporate-integrity-agreements/heightened-scrutiny.asp">Heightened Scrutiny List</a></li> <li><a href="/compliance/corporate-integrity-agreements/closed-cias.asp">Closed CIAs</a></li> <li><a href="/compliance/corporate-integrity-agreements/resources.asp">CIA Compliance Resources</a></li> <li><a href="/fraud/enforcement/ciae/">CIA Enforcements</a></li> </ul> </div> </main> <footer class="usa-footer usa-footer-big" role="contentinfo"> <div class="usa-grid usa-footer-return-to-top"> <a href="#">Return to top</a> </div> <div class="usa-footer-primary-section"> <div class="usa-grid"> <nav class="usa-footer-nav usa-width-two-thirds"> <ul class="usa-unstyled-list usa-width-one-fourth usa-footer-primary-content"> <li class="usa-footer-primary-link"> <h4>Related Information</h4> </li> <li><a class="usa-footer-secondary-link" href="/about-oig/contact-us/">Contact Us</a></li> <li><a class="usa-footer-secondary-link" href="https://oig.hhs.gov/oig-policies/">OIG Policies</a></li> <li><a class="usa-footer-secondary-link" href="/faqs/">FAQs</a></li> <li><a class="usa-footer-secondary-link" href="https://www.npdb.hrsa.gov/" target="_blank">NPDB</a></li> <li><a class="usa-footer-secondary-link" href="https://www.hhs.gov" target="_blank">HHS.gov</a></li> <li><a class="usa-footer-secondary-link" href="https://www.ignet.gov/" target="_blank">IGnet</a></li> <li><a class="usa-footer-secondary-link" href="https://www.usa.gov/" target="_blank">USA.gov</a> <li><a class="usa-footer-secondary-link" href="/foia/">FOIA</a></li> <li><a class="usa-footer-secondary-link usa-external_link" href="https://get.adobe.com/reader/">Download Reader</a></li> </ul> <ul class="usa-unstyled-list usa-width-one-fourth usa-footer-primary-content"> <li class="usa-footer-primary-link"> <h4>Publications</h4> </li> <li><a class="usa-footer-secondary-link" href="/about-oig/strategic-plan/">Strategic Plan</a></li> <li><a class="usa-footer-secondary-link" href="/about-oig/oig-budget/">Budget</a></li> <li><a class="usa-footer-secondary-link" href="/reports/all/?report-type=TMC&hhs-agency=#results">Top Management & Performance Challenges</a></li> <li><a class="usa-footer-secondary-link" href="/reports-and-publications/workplan/index.asp">Work Plan</a></li> <li><a class="usa-footer-secondary-link" href="/reports/all/?report-type=SAR#results">Semiannual Reports to Congress</a></li> <li><a class="usa-footer-secondary-link" href="/reports/all/?report-type=Top+Unimp.+Recs&hhs-agency=#results">Unimplemented Recommendations</a></li> </ul> </nav> <div class="usa-sign_up-block usa-width-one-third"> <a class="usa-button usa-button-small" href="https://cloud.connect.hhs.gov/OIG">Subscribe to Our Newsletter</a> </div> </div> </div> <div class="usa-footer-secondary_section usa-footer-big-secondary-section"> <div class="usa-grid"> <div class="usa-footer-logo usa-width-one-half"> <img class="usa-footer-big-logo-img" src="/uswds/img/seal-bw-clear.png" alt=""> <h3 class="usa-footer-big-logo-heading">HHS Office of Inspector General</h3> </div> <div class="usa-footer-contact-links usa-width-one-half"> <a class="usa-link-instagram" href="https://instagram.com/oigathhs/"> <span>Instagram</span> </a> <a class="usa-link-facebook" href="https://www.facebook.com/OIGatHHS/"> <span>Facebook</span> </a> <a class="usa-link-twitter" href="https://twitter.com/OIGatHHS/"> <span>Twitter</span> </a> <a class="usa-link-youtube" href="https://www.youtube.com/user/OIGatHHS"> <span>YouTube</span> </a> <a class="usa-link-linkedin" href="https://www.linkedin.com/company/hhs-office-of-the-inspector-general"> <span>LinkedIn</span> </a> <p><a href="https://oig.hhs.gov/about-oig/contact-us/social-media-directory/">HHS-OIG Social Media Directory</a></p> <address> <h3 class="usa-footer-contact-heading">330 Independence Avenue, SW<br />Washington, DC 20201 </h3> </address> </div> </div> </div> </footer> <script src="/uswds/js/uswds.min.js"></script> <script> //<![CDATA[ var usasearch_config = { siteHandle:"hhs_oig" }; 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