Michigan OIG/SAM Search Compliance Programs

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Description

The Office of Inspector General (OIG) has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to applicable statutes, regulations, and program requirements.

Michigan OIL/SAM Search Compliance Programs are initiatives established by the state of Michigan to ensure compliance with regulations regarding the exclusion of individuals or entities participating in federally funded programs. These programs primarily focus on the Office of Inspector General (OIL) and the System for Award Management (SAM) search compliance. The OIL Search Compliance program in Michigan involves conducting comprehensive background checks of individuals and businesses to determine if they have been excluded from participation in federal programs. The program aims to detect and prevent fraud, waste, and abuse by identifying any excluded parties who attempt to engage in activities that involve federal funds. The SAM Search Compliance program, on the other hand, focuses on verifying the eligibility and integrity of vendors, contractors, and organizations seeking to do business with the state or receive federal grants. By searching the SAM database, the program ensures that entities are not suspended, debarred, or otherwise ineligible to participate in federally funded programs and contracts. In addition to the general OIL and SAM Search Compliance programs, there are several specific types of compliance programs in Michigan, including: 1. Medicaid OIL/SAM Search Compliance Program: This program specifically targets Medicaid providers and vendors, ensuring their compliance with state and federal regulations. It aims to protect the integrity of the Medicaid program by preventing individuals or entities with past fraudulent activities from participating in the program. 2. Medicare OIL/SAM Search Compliance Program: Focusing on Medicare providers, this program helps identify individuals or entities excluded from Medicare participation. It plays a vital role in safeguarding taxpayer dollars by preventing fraudulent billing practices and ensuring program integrity. 3. State Contract OIL/SAM Search Compliance Program: Designed to monitor individuals and organizations entering into contracts with the state, this program aims to prevent entities with exclusionary records from receiving state-funded contracts. By conducting thorough OIL and SAM searches, the program helps maintain accountability and transparency in state contracting processes. 4. Grant OIL/SAM Search Compliance Program: This compliance program ensures that entities receiving federal grants in Michigan are eligible to do so. It helps prevent funds from being granted to individuals or organizations that have been excluded or have a history of fraud or misconduct. By implementing specific compliance programs and conducting rigorous OIL/SAM searches, Michigan aims to protect the interests of taxpayers and ensure responsible use of federal funds. These efforts also contribute to fostering a transparent and accountable business environment within the state.

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FAQ

The SAM is an attempt by the federal government to consolidate several pre-existing procurement systems and combine them with the Catalog of Federal Domestic assistance.

An exclusion screening solution ensures screening of all employees, vendors, and subcontractors against the OIG exclusion list and SAM exclusion list prior to hiring or contracting, followed by regular screenings afterward.

The System for Award Management (SAM) is a US government portal for businesses, organizations, and federal agencies to win government contracts. However, its lists of excluded individuals and entities can also help healthcare employers with hiring decisions.

An exclusion record identifies parties excluded from receiving Federal contracts, certain subcontracts, and certain types of Federal financial and non Financial assistance and benefits. Exclusions are also referred to as suspensions and debarments.

Exclusion List means the list of all persons and entities who have timely and validly excluded themselves from the Settlement.

The System for Award Management (SAM) is an official website of the U.S. government. Managed by the General Services Administration (GSA), SAM.gov is free for entities to: Register to do business with the U.S. government. Update or renew their entity registration. Check the status of an entity registration.

GSA administers SAM, which contains debarment actions taken by various Federal agencies, including exclusion actions taken by OIG. The LEIE contains only the exclusion actions taken by OIG. You may access SAM at .

An exclusion screening solution ensures screening of all employees, vendors, and subcontractors against the OIG exclusion list and SAM exclusion list prior to hiring or contracting, followed by regular screenings afterward.

The effect of an OIG exclusion, and appearance on the General Services Administration's System for Award Management (SAM) website as a result of such exclusion, is that no payment will be made by any Federal health care program for items or services furnished, ordered, or prescribed by the excluded individual in any

The primary difference between the OIG LEIE and SAM.gov is that the former only consists of exclusion actions taken by the HHS OIG, and the latter consists of debarment actions taken by various Federal agencies.

More info

According to the OIG, an excluded individual may not serve in anFurther, the provider may not seek federal health care program payments ... 2 UnitedHealthcare Community Plan Michigan v 63.10.2021resources to fill gaps in care and develops personalizedOffice of Inspector General.If you are a participating provider in our network, and you have not already done so, you and your staff must complete the Medicare Compliance FDR ... You may receive correspondence from one or several of these contractors in your state. They may request medical records from you, as they ... By completing the following attestation, you certify that your organizationMy organization attests that we review the OIG LEIE, SAM EPLS and Medicheck ... Services available for bid under an authorized purchase plan for the MIPolicy for completing licensing, SAM, OIG and state exclusion checks on all ... The ALN is the unique 5-digit number assigned to identify a federal assistance listing, and can be used to search for federal assistance program ... The Office of the Inspector General is directly responsible for meeting thein the administration of Social Security Administration programs and ... Substance Use Disorder (SUD) providers must complete the organizationalof Care Designation (treatment programs): Approved by the State of Michigan; ... Find answers to your questions about Suspension and Debarment.widely known tools as these actions are visible to the public via SAM (formerly EPLS).

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Michigan OIG/SAM Search Compliance Programs