CENTIPEDE is required to validate Ownership and Interest for any provider that participates in networks for Medicare, Medicaid or any federal product. Rather than have different levels of Credentialing CENTIPEDE applies this same standard to ALL products and providers to ensure the highest level of quality.

This Disclosure of Ownership is required to finalize your participation for CENTIPEDE.

I don’t want to share my information especially a SSN

  • Unfortunately many of our names are not 100% unique.
  • When we search providers, owners and or Board Members by name there are matches. When we have a name match a Credentialing Specialist then performs a secure manual search using SSN as a rule out. If we match on SSN, then CENTIPEDE notifies you and we reality test the exclusion.

What’s an Excluded Provider?

  • You may or may not be aware that by federal law, the U.S. Department of Health and Human Services’ Office of Inspector
    General (HHS-OIG) can exclude individuals and entities from participating in federal health care programs – including Medicaid
    and Medicare.
  • If the HHS-OIG excludes a health care provider under a federal health care program, the U.S. Department of
    Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) policy also prohibits the reimbursement of any
    items or services furnished, ordered or prescribed by that provider.

Where can I find out more?

Link to OIG:  OIG Excluded Providers look up

Link to CFR:  Feel free to review the full requirement at  42 CFR 455.106. In addition to identifying excluded providers there is also a requirement to disclose the identity of any excluded individuals/entities with ownership or control interest in the provider of 5% or greater.