St. Joseph Living Center
Outcome
St. Joseph Living Center in Windham, Connecticut paid $88,448 after employing an individual excluded from federal healthcare programs and billing those programs for services the excluded person provided.
Details
St. Joseph Living Center (Windham, CT) — Excluded Individual Employed and Billed (2025)
Outcome: St. Joseph Living Center, a long-term care facility in Windham, Connecticut, paid $88,448 after the OIG determined it employed an excluded individual whose services were billed to federal healthcare programs.
St. Joseph Living Center self-disclosed the violation to the OIG. The facility employed a staff member who had been excluded from participating in any Federal health care program. The excluded individual provided services that were then billed to Medicare and/or Medicaid, violating the Civil Monetary Penalties Law.
Federal law prohibits healthcare providers participating in Medicare and Medicaid from knowingly employing individuals on the OIG exclusion list. The penalty of $88,448.39 was entered July 9, 2025. Long-term care facilities are responsible for screening all employees, contractors, and agents against the OIG LEIE database prior to hire and monthly thereafter.
Primary Source: OIG Enforcement Record
How Crucible Prevents This
Crucible's LEIE screening hooks and continuous exclusion monitoring would catch excluded staff before or during employment. Automated monthly cross-checks against OIG, SAM.gov, and state exclusion databases prevent the exact scenario of billing for excluded individual services.
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