Corporate Integrity Agreements

A Corporate Integrity Agreement (CIA) is an agreement between an entity and the Office of Inspector General (OIG) that outlines obligations to improve compliance and prevent fraud, often as part of a civil settlement.

CIAs may be used as part of a False Claims Act resolution involving alleged fraud against the Federal health care programs. CIAs aim to strengthen an entity’s compliance program and promote compliance so that future issues can be prevented or identified, reported, and corrected. OIG does not seek a CIA in every False Claims Act case. For more information see 1128(b)(7) Exclusion Criteria.

When an entity agrees to the obligations outlined in the Corporate Integrity Agreement, OIG agrees not to seek the entity's exclusion from participation in Medicare, Medicaid, or other Federal health care programs . Learn more

How CIAs Work

Resolve Health Care Case

Corporate Integrity Agreement

Implementation & Independent Reviews

Periodic Reporting

Closed

Resolution can be a settlement agreement in which the government alleges fraud and typically the settling parties do not admit liability.

The agreement outlines obligations that the provider must fulfill. It includes breach and default provisions that allow OIG to impose certain monetary penalties.

The entity must implement the requirements in the CIA including, for example, hiring a compliance officer, retaining an independent organization to do reviews, and restricting employment of ineligible persons.

The entity must submit an implementation report and annual reports to OIG on the status of compliance activities. They must also report certain occurrences such as overpayments, reportable events, and ongoing investigations or legal proceedings.

The period of a CIA is five years. The CIA is closed after the OIG receives and reviews the final report.