Articles and Blogs

In a July 21, 2026, announcement, the U.S. Department of Health and Human Services (“HHS”) granted the Centers for Medicare & Medicaid Services (“CMS”) federal health care program exclusion authority under the Social Security Act. On October 13, 2026, the delegation was formalized, and on October 14, 2026, CMS announced it. Exclusion exists to... READ MORE

On October 15, 2026, the U.S. Department of Justice (“DOJ”) National Fraud Enforcement Division (“Fraud Division”) and the U.S. Department of Health and Human Services Office of the Inspector General (“HHS-OIG”) announced a joint policy (“Policy”) designed to streamline the voluntary self-disclosure process for potential criminal health care fraud. Background Historically, federal health care... READ MORE

On November 8, 2021, the U.S. Department of Health & Human Services Office of Inspector General (“OIG”) revised its Self-Disclosure Protocol (“SDP”) for health care providers for the first time since 2013. OIG’s revisions brought the SDP in line with the current statutory penalties under the Anti-Kickback Statute (“AKS”) and Civil Monetary Penalties Law... READ MORE