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Criteria for Implementing Section 1128(b)(7) Exclusion Authority

Document setting forth circumstances in which the presumption in favor of exclusion may be rebutted and the non-binding factors that OIG will use to make such a determination. This document also describes how OIG evaluates risk to the Federal health care programs in using its other available remedies.

Download the Guidance Document

Final

Issued by: Office of Inspector General (OIG)

Issue Date: April 18, 2016

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.