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Applying for Reinstatement

  
 

Reinstatement of excluded entities and individuals is not automatic. Those wishing to again participate in the Medicare, Medicaid and all Federal health care programs must apply for reinstatement and receive authorized notice from the OIG that reinstatement has been granted. Obtaining a provider number from a Medicare contractor, a State agency or a Federal health care program does not reinstate eligibility to participate in these programs. There are no provisions for early or retroactive reinstatement.

Upon written request to the OIG at the below listed address, the OIG will provide Statement and Authorization forms which must be completed, notarized and returned. The information contained in these forms will be evaluated and a written notification will be sent indicating the final decision of the OIG pertaining to the reinstatement request. Generally, this process requires up to 120 days to complete, but can take longer if circumstances warrant.

Excluded parties may write to the OIG within 90 days of the expiration of the minimum period of exclusion to request reinstatement. Premature requests will not be considered.

If reinstatement is denied, the excluded party is eligible to reapply after one year.

To apply for reinstatement, mail your request to:

HHS, OIG
Office of Investigations
Health Care Administrative Sanctions
Room N2-01-26
7500 Security Boulevard
Baltimore, MD 21244-1850

Additional information in regulations can be found at 42 CFR 1001.3001-3005.

   
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