Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.10.2.4.1
Notification to Other Agencies
4.10.2.4.1 - Notification to Other Agencies
(Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21)
Concurrent with the mailing of the notice to the provider, OIG sends a notice to the state
agency administering or supervising the administration of each state health care
program, the appropriate state licensing board, and CMS. CMS is responsible for
ensuring proper effectuation of sanction actions.
OIG also notifies the appropriate licensing agency, the public, and all known employers
of the sanctioned provider.
The effective date of exclusion is 20 days from the date of the notice to the provider (see
42 CFR §1001.2003 for exceptions to the 20 day notice).