The Unified Program Integrity Contractor’s and Medicare

4.10.1 - The Unified Program Integrity Contractor’s and Medicare Administrative Contractor’s Role (Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21) The MAC shall be responsible for: • Ensuring that no payments are made to provider/suppliers for a salaried individual who is excluded from the program. OIG, as it becomes aware of such employment situations, notifies providers that payment for services furnished to Medicare patients by the individual is prohibited and that any costs (salary, fringe benefits, etc.) submitted to Medicare for services furnished by the individual will not be paid. A copy of this notice is sent to the UPIC and to the appropriate RO. The UPIC and the MAC shall work out the following in their JOA: • Furnishing any available information to the OIG/OI with respect to providers/suppliers requesting reinstatement. • Reporting all instances where an excluded provider/supplier submits claims for which payment may not be made after the effective date of the exclusion. The UPIC shall also be responsible for: • Contacting OIG/OI when it determines that an administrative sanction against an abusive provider/supplier is appropriate. • Providing OIG/OI with appropriate documentation in proposed administrative sanction cases.