For certain criminal convictions, known as “mandatory exclusions”, OIG is required to exclude an individual for at least 5 years.
Mandatory exclusions include:
- Conviction related to the delivery or an item or service under Medicare or Medicaid
- Convictions related to patient abuse or neglect in connect with the delivery of a health care service or item
- Felony conviction relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other misconduct in connection with the delivery of health care items or services
- Felony conviction relating to controlled substances