Eligibility to Participate in Federal and State Health Care Programs

Inland Empire Health Plan (IEHP) is prohibited from issuing payment for services provided, ordered, or prescribed by an individual or entity that is excluded, ineligible, or terminated from participation in State and Federal health care programs in accordance with regulatory and contractual requirements.

IEHP conducts regular reviews of Federal and State exclusionary databases and lists, including but not limited to:

  • Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE list)
  • General Services Administration (GSA) System for Award Management (SAM)
  • DHCS Medi-Cal Suspended and Ineligible Provider List
  • CMS Preclusion List
  • DHCS Restricted Provider Database (RPD)