Menu
Requirements How to Comply

As a first tier entity, our Medicare D plan sponsors require that Navitus and their downstream entities review the DHHS OIG List of Excluded Individuals and Entities (LEIE list) and the GSA System for Award Management exclusion list (SAM) prior to the hiring or contracting of any new employee, temporary employee, volunteer, consultant, governing body member, or FDR, and monthly thereafter.  This is to ensure that none of these persons or entities are excluded or become excluded from participation in federal programs. Monthly screening is required to prevent inappropriate payment to pharmacies, vendors, and other entities that have been added to exclusions lists since the prior month. (Medicare Prescription Drug Benefit Manual Ch. 9 §50.6.8)

  • Review the Department of Health and Human Services (DHHS) Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) at the time of hiring or contracting and monthly thereafter. The LEIE is available at: https://oig.hhs.gov/exclusions/exclusions_list.asp.
  • Review the General Service Administration (GSA) System for Award Management (SAM) at the time of hiring or contracting and monthly thereafter. SAM is available at: https://www.sam.gov.
  • Be prepared to produce documentation that your employees and any entities with whom you contract have been checked timely against the exclusion lists.