Medicaid exclusion screening requirements in Nevada
What Nevada Medicaid requires of the organizations that take part in it: whether the state keeps its own exclusion list, how often it expects you to check, what the penalties are, and how an action taken in another state reaches you here. Every claim on this page links to the source it came from.
What Exclia screens for this state
Nevada’s own Medicaid exclusion list is rolling out to Exclia. The federal lists (OIG LEIE and SAM.gov) are screened today.
What the state requires
Verify the subject, authority and current participation status with the publisher.
A contract termination date differs from an OIG exclusion date. A sanction period end or OIG reinstatement does not establish state Medicaid eligibility. The reviewed publication does not establish a statewide screening frequency.
Why monthly, and where the exposure comes from
The HHS Office of Inspector General publishes the federal exclusion list (the LEIE) monthly, and its guidance to providers is that screening staff and contractors each month is what best limits the risk of overpayment and civil monetary penalty liability. State Medicaid agencies are themselves required to check the LEIE no less frequently than monthly (42 C.F.R. § 455.436(c)(2)), which is the rhythm the lists move on.
The state’s own list
Nevada Medicaid Sanctions/Office of Inspector General Exclusions List
Nevada keeps its own Medicaid exclusion list, separate from the federal OIG list. Searching one does not cover the other.
The report combines historical Medicaid contract terminations, state sanction tiers and periods, and OIG exclusion and reinstatement dates. Membership alone does not establish current eligibility. Associated legal entities and controlling owners are contextual fields, not additional subjects.
- Published by
- Nevada Office of Medicaid Inspector General
- Refreshed
- Not stated by the reviewed report; dated October1,2026., per the publishing agency.
How Exclia reads this list
Exclia reads the Nevada Office of the Inspector General master list (PDF), including rows a generic table reader misses at page breaks.
The list mixes historical actions without a stated current status, so Exclia stores every row as evidence but screens none of them until the publisher confirms what is current.
Whether this source is screening today, and the exact file version in use, is shown on the coverage page.
What happens if it is not done
The report records distinct state and federal participation actions.
- State contract termination, state sanctions, federal exclusions and federal reinstatement are separate evidence. This is not a procurement debarment roster. Elapsed periods do not automatically prove eligibility.
The federal exposure behind the state requirement
Where a federal health care program pays for an item or service furnished, ordered, or prescribed by a person on an exclusion list, the OIG can seek repayment of what was paid, civil monetary penalties for each item or service claimed (a statutory $10,000, adjusted annually for inflation), and an assessment of up to three times the amount claimed. The standard is what the organization knew or should have known — which is why the date of your last check is the fact that matters.
How another state’s action reaches you here
Section 6501 of the Affordable Care Act (42 U.S.C. § 1396a(a)(39), implemented at 42 C.F.R. § 455.416(c)) requires a state Medicaid agency to deny or end the enrollment of any provider that was terminated for cause on or after January 1, 2011 under Medicare, or under the Medicaid or CHIP program of any other state, and that appears in the federal termination database. In practice that means an action taken against a provider in one state reaches their participation in every other — so the list that matters to you is not only your own state's.
Common questions
Only the first column identifies the reported subject. Related entities and owners remain source context; they are not automatically aliases or independently listed subjects.
No. The full historical report remains quarantined because current eligibility semantics require review. Live coverage requires enabled collection, reviewed terms and immutable activation; this guide also awaits counsel review.
Check one name against the federal lists, free
One name, no account, and the result states which sources it covered and which it did not. It is a spot check rather than monitoring — it does not satisfy a monthly requirement on its own.
Run a free checkOr do it for the whole roster, every month
Exclia screens every person and vendor on your roster each month against the sources we cover, and keeps the dated audit trail that shows you did it.
See pricingEvery published state in one printable table, with the source for each row and a publication date you can check. Get the state-by-state requirements table
This states what each state publishes and links to where it says it. It is not legal advice, and where your own obligations are unclear your counsel is the right reader of these sources.