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Overview Submitting Reports to the NPDB Reporting Medical Malpractice Payments Reporting Adverse Clinical Privileges Actions Reporting Adverse Professional Society Membership Actions Reporting State Licensure and Certification Actions Reporting Federal Licensure and Certification Actions Reporting Peer Review Organization Negative Actions or Findings Reporting Private Accreditation Organization Negative Actions or Findings Reporting Exclusions from Participation in Federal or State Health Care Programs Reporting Federal or State Health Care-Related Criminal Convictions Reporting Health Care-Related Civil Judgments Reporting Other Adjudicated Actions or Decisions

Q&A: Reporting Federal Licensure or Certification Actions

  1. A skilled nursing facility's contract to participate in a federal health care program (e.g., Medicare provider agreement) is formally terminated for cause. Should this action be reported to the NPDB?

    Yes. Federal licensing and certification agencies must report formal or official final actions — such as revocations or suspensions of a license, certification agreement, or contract for participation in a government health care program — taken against health care practitioners, providers, or suppliers.

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