CINXE.COM

<!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>Special Advisory Bulletin and Other Guidance | Exclusions | Office of Inspector General | U.S. Department of Health and Human Services</title> <meta name="keywords" content="Office of Inspector General | U.S. Department of Health and Human Services" /> <meta name="description" content="Office of Inspector General | U.S. Department of Health and Human Services" /> </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. Before sharing sensitive information, make sure you're on a federal government site. </p> </div> </div> <div class="usa-banner-guidance-ssl usa-width-one-half"> <img class="usa-banner-icon usa-media_block-img" src="/uswds/img/icon-https.svg" alt="Https"> <div class="usa-media_block-body"> <p> <strong>The site is secure.</strong> <br> The <strong>https://</strong> ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. </p> </div> </div> </div> </div> </section>  <header class="usa-header usa-header-extended" role="banner" style="background:#112E51;"> <div class="usa-navbar"> <div class="usa-logo" id="extended-logo"> <em class="usa-logo-text"> <a href="/" title="Home" aria-label="Home"> <img src="/uswds/img/hhsoig-banner-logo.png" class="banner-logo-image" alt="U.S. Department of Health and Human Services, Office of Inspector General" /> <span class="banner-logo-text">HHS <span class="oig-banner" style="color:#fff">Office of Inspector General</span></span> </a> </em> </div> <button class="usa-menu-btn">Menu</button> </div> <nav role="navigation" class="usa-nav"> <div class="usa-nav-inner"> <button class="usa-nav-close"> <img src="/uswds/img/close.svg" alt="close"> </button> <ul class="usa-nav-primary usa-accordion"> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-one"> <span onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'NAV-HEADING']);">About OIG</span> </button> <ul id="extended-nav-section-one" class="usa-nav-submenu"> <li><a href="/about-oig/about-us/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'ABOUT-OVERVIEW']);">About OIG Overview</a></li> <li><a href="/about-oig/about-us/leadership.asp" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'LEADERSHIP']);">Leadership</a></li> <li><a href="/about-oig/organization-chart/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'ORGCHART']);">Organization Chart</a></li> <li><a href="/about-oig/contact-us/" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'CONTACT']);">Contact Us</a></li> <li><a href="/about-oig/oig-budget/" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'BUDGET']);">Budget</a></li> <li><a href="/reports-and-publications/strategic-plan/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'STRATEGIC-PLAN']);">Strategic Plan</a></li> <li><a href="/about-oig/downloadable-resources-and-applications/" onclick="_sz.push(['event', 'MAIN_NAV-ABOUT', 'CLICK', 'RESOURCES-APPLICATIONS']);">Downloadable Resources and Applications</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-two"> <span onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'NAV-HEADING']);">Reports</span> </button> <ul id="extended-nav-section-two" class="usa-nav-submenu"> <li><a href="/reports/" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'REPORTS-OVERVIEW']);">Reports</a></li> <li><a href="/reports/all/" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'All-REPORTS']);">All Reports and Publications</a></li> <li><a href="/reports-and-publications/workplan/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'WORKPLAN']);">Work Plan</a></li> <li><a href="/reports/recommendations/" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'RECOMMENDATIONS']);">Recommendations</a></li> <li><a href="/reports-and-publications/featured-topics/" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'FEATURED-TOPICS']);">Featured Topics</a></li> <li><a href="/about-oig/oig-budget/" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'BUDGET']);">Budget</a></li> <li><a href="/reports-and-publications/federal-register-notices/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-REPORTS', 'CLICK', 'FEDERAL-REGISTER']);">Federal Register</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-three"> <span onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'NAV-HEADING']);">Fraud</span> </button> <ul id="extended-nav-section-three" class="usa-nav-submenu"> <li><a href="/fraud/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'FRAUD-OVERVIEW']);">Fraud Overview</a></li> <li><a href="/fraud/report-fraud/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'SUBMIT-COMPLAINT']);">Submit a Hotline Complaint</a></li> <li><a href="/fraud/enforcement/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'EAS']);">Enforcement Actions</a></li> <li><a href="/fraud/fugitives/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'FUGITIVES']);">Fugitives</a></li> <li><a href="/fraud/child-support-enforcement/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'CHILD-SUPPORT']);">Child Support Enforcement</a></li> <li><a href="/fraud/medicaid-fraud-control-units-mfcu/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'MFCU']);">Medicaid Fraud Control Units</a></li> <li><a href="/fraud/state-false-claims-act-reviews/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'SFCA-REVIEWS']);">State False Claims Act Reviews</a></li> <li><a href="/fraud/consumer-alerts/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'CONSUMER-ALERTS']);">Consumer Alerts</a></li> <li><a href="/fraud/strike-force/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'STRIKE-FORCE']);">Medicare Fraud Strike Force</a></li> <li><a href="/fraud/fraud-risk-spectrum/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'FRAUD-RISK-SPECTRUM']);">Fraud Risk and Heightened Scrutiny</a></li> <li><a href="/fraud/whistleblower/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'WHISTLEBLOWER']);">Whistleblower Protection Coordinator</a></li> <li><a href="/fraud/contract-fraud/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'CONTRACT-FRAUD']);">Contract Fraud</a></li> <li><a href="/fraud/grant/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'GRANT-FRAUD']);">Grant Fraud</a></li> <li><a href="/fraud/care/" onclick="_sz.push(['event', 'MAIN_NAV-FRAUD', 'CLICK', 'OP-CARE']);">Operation CARE</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-four"> <span onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'NAV-HEADING']);">Compliance</span> </button> <ul id="extended-nav-section-four" class="usa-nav-submenu"> <li><a href="/compliance/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'COMPLIANCE-OVERVIEW']);">Compliance</a></li> <li><a href="/compliance/compliance-guidance/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'COMPLIANCE-GUIDANCE']);">Compliance Guidance</a></li> <li><a href="/compliance/corporate-integrity-agreements/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'CIA']);">Corporate Integrity Agreements</a></li> <li><a href="/compliance/advisory-opinions/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'ADVISORY-OPINIONS']);">Advisory Opinions</a></li> <li><a href="/compliance/accountable-care-organizations/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'ACO']);">Accountable Care Organizations</a></li> <li><a href="/compliance/open-letters/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'OPEN-LETTERS']);">Open Letters</a></li> <li><a href="/compliance/rat-stats/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'RAT-STATS']);">RAT-STATS - Statistical Software</a></li> <li><a href="/compliance/safe-harbor-regulations/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'SAFE-HARBOR']);">Safe Harbor Regulations</a></li> <li><a href="/compliance/self-disclosure-info/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'SELF-DISCLOSURE']);">Self-Disclosure Information</a></li> <li><a href="/compliance/alerts/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'SPECIAL-ALERTS']);">Special Fraud Alerts, Bulletins, and Other Guidance</a></li> <li><a href="/compliance/physician-education/" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'ROADMAP']);">A Roadmap for New Physicians</a></li> <li><a href="/compliance/single-audits/" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'SINGLE-AUDITS']);">Single Audits</a></li> <li><a href="https://oig.hhs.gov/faqs/" onclick="_sz.push(['event', 'MAIN_NAV-COMPLIANCE', 'CLICK', 'FAQ']);">Frequently Asked Questions (FAQs)</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-five"> <span onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'NAV-HEADING']);">Exclusions</span> </button> <ul id="extended-nav-section-five" class="usa-nav-submenu"> <li><a href="/exclusions/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'LEIE-OVERVIEW']);">Exclusions Overview</a></li> <li><a href="https://exclusions.oig.hhs.gov" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'LEIE-SEARCH']);">Online Searchable Database</a></li> <li><a href="/exclusions/exclusions_list.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'LEIE-DOWNLOAD']);">LEIE Downloadable Databases</a></li> <li><a href="/exclusions/supplements.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'LEIE-SUPPLEMENTS']);">Monthly Supplement Downloads</a></li> <li><a href="/exclusions/tips.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'QUICK-TIPS']);">Quick Tips</a></li> <li><a href="/exclusions/waivers.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'WAIVERS']);">Waivers</a></li> <li><a href="/exclusions/background.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'BACKGROUND']);">Background Information</a></li> <li><a href="/exclusions/reinstatement.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'REINSTATEMENT']);">Applying for Reinstatement</a></li> <li><a href="/contact-us/index.asp#exclusions" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'CONTACT']);">Contact the Exclusions Program</a></li> <li><a href="/faqs/exclusions-faq.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'FAQ']);">Frequently Asked Questions</a></li> <li><a href="/exclusions/advisories.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'SPECIAL-ADVISORY']);">Special Advisory Bulletin and Other Guidance</a></li> <li><a href="/exclusions/authorities.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'LEIE-AUTHORITIES']);">Exclusion Authorities</a></li> <li><a href="/exclusions/partners.asp" onclick="_sz.push(['event', 'MAIN_NAV-LEIE', 'CLICK', 'PARTNERS']);">Working with Federal and State Partners</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-six"> <span onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'NAV-HEADING']);">Newsroom</span> </button> <ul id="extended-nav-section-six" class="usa-nav-submenu"> <li><a href="/newsroom/" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'NEWS-OVERVIEW']);">Newsroom Overview</a></li> <li><a href="/newsroom/whats-new/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'WHATS-NEW']);">What's New</a></li> <li><a href="/newsroom/news-releases/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'RELEASES-ARTICLES']);">News Releases & Articles</a></li> <li><a href="/newsroom/media-materials/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'MEDIA-MATERIALS']);">Media Materials</a></li> <li><a href="/newsroom/testimony-and-speeches/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'TESTIMONY']);">Testimony</a></li> <li><a href="/newsroom/speeches/" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'SPEECHES']);">Speeches</a></li> <li><a href="/newsroom/video/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'VIDEOS']);">Videos</a></li> <li><a href="/newsroom/podcasts/index.asp" onclick="_sz.push(['event', 'MAIN_NAV-NEWSROOM', 'CLICK', 'PODCASTS']);">Podcasts</a></li> </ul></li> <li><button class="usa-accordion-button usa-nav-link" aria-expanded="false" aria-controls="extended-nav-section-seven"> <span onclick="_sz.push(['event', 'MAIN_NAV-CAREERS', 'CLICK', 'NAV-HEADING']);">Careers</span> </button> <ul id="extended-nav-section-seven" class="usa-nav-submenu"> <li><a href="/careers/" onclick="_sz.push(['event', 'MAIN_NAV-CAREERS', 'CLICK', 'CAREERS-OVERVIEW']);">Careers Overview</a></li> <li><a href="/careers/internship-opportunities/" onclick="_sz.push(['event', 'MAIN_NAV-CAREERS', 'CLICK', 'INTERNSHIPS']);">Internship Opportunities</a></li> </ul></li> <li class="mobile-search"> <a class="usa-nav-link" href="https://search.usa.gov/search?affiliate=hhs_oig"><span>Search</span></a> </li> </ul> <div class="usa-nav-secondary"> <form class="usa-search js-search-form" id="search_form" action="https://search.usa.gov/search" accept-charset="UTF-8" method="get"><input name="utf8" type="hidden" value="✓" /> <div role="search"> <label class="usa-sr-only" for="search-field">Search</label> <input id="search-field" type="search" name="query" autocomplete="on" class="usagov-search-autocomplete"> <input type="hidden" name="affiliate" id="affiliate" value="hhs_oig" /> <button type="submit" name="commit" value="Search"> <span class="usa-search-submit-text">Search</span> </button> </div> </form> <ul class="usa-unstyled-list usa-nav-secondary-links"> <li>   <a href="/fraud/report-fraud/index.asp" class="report-fraud-nav-link" onclick="_sz.push(['event', 'MAIN_NAV-REPORT-FRAUD', 'CLICK', 'NAV-HEADING']);"> Submit a 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="/exclusions/index.asp">Exclusions Program</a></li> <li><a href="https://exclusions.oig.hhs.gov">Online Searchable Database</a></li> <li><a href="/exclusions/exclusions_list.asp">LEIE Downloadable Databases</a></li> <li><a href="/exclusions/supplements.asp">Monthly Supplement Downloads</a></li> <li><a href="/exclusions/tips.asp">Quick Tips</a></li> <li><a href="/exclusions/waivers.asp">Waivers</a></li> <li><a href="/exclusions/background.asp">Background Information</a></li> <li><a href="/exclusions/reinstatement.asp">Applying for Reinstatement</a></li> <li><a href="/contact-us/index.asp#exclusions">Contact the Exclusions Program</a></li> <li> <a href="/faqs/exclusions-faq.asp">Frequently Asked Questions</a></li> <li> <a href="/exclusions/advisories.asp">Special Advisory Bulletin and Other Guidance</a></li> <li><a href="/exclusions/authorities.asp">Exclusion Authorities</a></li> <li><a href="/exclusions/partners.asp">Working with Federal and State Partners</a></li> </ul> </div> </nav> </aside> <div class="usa-width-three-fourths usa-layout-docs-main_content"> <h1>Special Advisory Bulletin and Other Guidance</h1> <h2>Special Advisory Bulletin</h2> <dl> <dt><a href="/exclusions/files/sab-05092013.pdf">Updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs</a><br /><small>Special Advisory Bulletin | May 9, 2013</small></dt> <dd>This updated Special Advisory Bulletin describes the scope and effect of the legal prohibition on payment by Federal health care programs for items or services furnished (1) by an excluded person or (2) at the medical direction or on the prescription of an excluded person. For purposes of Office of Inspector General (OIG) exclusion, payment by a Federal health care program includes amounts based on a cost report, fee schedule, prospective payment system, capitated rate, or other payment methodology. It describes how exclusions can be violated and the administrative sanctions OIG can pursue against those who have violated an exclusion. The updated Bulletin provides guidance to the health care industry on the scope and frequency of screening employees and contractors to determine whether they are excluded persons. </dd> <dt><a href="/exclusions/effects_of_exclusion.asp">The Effect of Exclusion From Participation in Federal Health Care Programs</a><br /><small>Special Advisory Bulletin | September 1999</small></dt> <ul> <li><a href="/exclusions/effects_of_exclusion.asp">Full Text</a></li> <li><a href="/fraud/docs/alertsandbulletins/exclude2.htm">News Release</a></li> </ul> </dl> <h2>Guidance</h2> <dl> <dt id="1128b7"><a href="/exclusions/files/1128b7exclusion-criteria.pdf">Updated Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act</a></dt> <dd>This notice sets forth updated criteria the OIG considers in evaluating exclusions under section 1128(b)(7) of the Social Security Act. This revised policy statement supersedes and replaces the 1997 Federal Register Notice.</dd> <dt><a href="/fraud/exclusions/files/permissive_excl_under_1128b15_10192010.pdf">Guidance for Implementing Permissive Exclusion Authority Under Section 1128(b)(15) of the Social Security Act</a></dt> <dd>This notice sets forth nonbinding factors the Office of Inspector General (OIG) will consider in deciding whether to impose permissive exclusion in accordance with section 1128(b)(15)(A)(ii) of the Social Security Act, which authorizes OIG to exclude an officer or managing employee of an entity that has been excluded or has been convicted of certain offenses.</dd> <dt><a href="/exclusions/files/criteria_b7.pdf">Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act</a></dt> <dd>This notice sets forth the non-binding guidelines, to be used by the OIG in assessing whether to impose a permissive exclusions in accordance with section 1128 (b) (7) of the Social Security Act.</dd> </dl> </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" }; var script = document.createElement("script"); script.type = "text/javascript"; script.src = "//search.usa.gov/javascripts/remote.loader.js"; document.getElementsByTagName("head")[0].appendChild(script); //]]> </script> <script> // Find the element with the specified class const element = document.querySelector('aside.usa-layout-docs-sidenav div.usa-width-one-fourth.related-content-box'); // Replace the inner HTML of the element with new HTML if (element) { element.innerHTML = 'Copies can also be obtained by contacting the <a href="mailto:Public.Affairs@oig.hhs.gov">Office of Public Affairs</a>.'; } </script> <script async src="https://siteimproveanalytics.com/js/siteanalyze_6283531.js"></script> <script async src="https://touchpoints.app.cloud.gov/touchpoints/a2a33ea8.js"></script> </body> </html>