Overview of OIG Corporate Integrity Agreements in Federal Health Care Compliance

The Office of Inspector General (OIG) negotiates Corporate Integrity Agreements (CIAs) with health care providers and entities as part of settlements concerning Federal health care program violations under civil false claims statutes. Providers agree to specific obligations to avoid exclusion from Medicare, Medicaid, and other Federal health care programs. CIAs typically span 5 years and incorporate compliance program elements tailored to the specific case facts, including breach provisions with stipulated monetary penalties and conditions that may lead to exclusion from Federal programs for material breaches.