Ohio Exclusion Database and Background Checks for NEMT Providers

Direct service providers and provider agencies are required to regularly to conduct background investigations and exclusion database checks of their employees to ensure compliance with federal regulations, preventing the hiring or contracting of individuals or entities excluded from participating in federal healthcare programs like Medicare and Medicaid, and safeguarding against potential financial penalties.

Purpose: The primary purpose of these checks is to prevent healthcare organizations from employing or contracting with individuals or entities who have been excluded from participating in federal healthcare programs (like Medicare and Medicaid).

To conduct Ohio exclusion database checks, healthcare providers and employers in Ohio should check their employees against the following:

1. Ohio Department of Medicaid's Provider Exclusion & Suspension List - This list is maintained by the Ohio Department of Medicaid and includes individuals and entities who are excluded or suspended from participating in the Ohio Medicaid program.

2. U.S. Department of Health and Human Services' (HHS) Office of Inspector General (OIG) Exclusion List - The OIG Exclusion List, also known as the List of Excluded Individuals/Entities (LEIE), is a federal list maintained by the HHS OIG. This list includes individuals and entities who are excluded from participating in any federal healthcare program, including Medicare and Medicaid.

3. System for Award Management (SAM.gov).  - SAM.gov is a federal database that lists individuals and entities who are debarred, suspended, or otherwise excluded from receiving federal contracts or awards. This includes individuals and entities who are excluded from participating in federal healthcare programs.

4. National Sex Offender Public Website (NSOPW)

5. DODD Abuser Registry Verification, from the Ohio Department of Developmental Disabilities - The DODD Abuser Registry isa list of employees who the department has determined have committed one of the registry offenses listed on their website, which can be found here.

6. Ohio Nurse Aide Registry, from the Ohio Department of Health - The Ohio Nurse Aide Registry, maintained by the Ohio Department of Health (.gov), lists Certified Nurse Aides (CNAs) and those with findings of abuse, neglect, or misappropriation, ensuring safe care in long-term care settings.

7. ODRC Inmates Database, from the Ohio Department of Rehabilitation and Correction