By Toby Pearson, Care Providers of Minnesota
To avoid liability, healthcare entities need to routinely check the List of Excluded Individuals/Entities (LEIE) to ensure that new hires and current employees are not on the excluded list. The Office of Inspector General (OIG) updates their LEIE database file every month. LEIE is a comprehensive list of individuals and entities prohibited from participating in either Medicare or Medicaid (including waiver) programs.
Once each month, providers should download the CSV file into your computer’s spreadsheet or database program. This will enable you to use that program’s search functions to crosscheck your staff names against the thousands of names on the LEIE. Document the results of the crosscheck verifying that you are not employing anyone on the LEIE list.
Prior to hiring a new staff member, it is recommended that you verify your potential new hire against the LEIE database. This can be conducted here. If the applicant’s name does not appear in the search results, print the webpage for your documentation (if it does appear, don’t hire!).
In addition to the federal exclusion list, Minnesota Health Care Programs (MHCP) maintains and publishes two lists of all people suspended or terminated from receiving payment from Medicaid funds who MHCP has excluded—one for excluded group providers and one for excluded individual providers. Besides checking the LEIE, you must also check the Minnesota Excluded Provider lists when you employ or enter into contracts with individuals or entities to provide services or items to recipients. MHCP will deny claims for services or items rendered, ordered, referred, or prescribed by excluded providers.