A recent OIG report assesses the extent to which provider networks of managed care entities (MCE) that contract with state Medicaid agencies employ excluded individuals. Based on an examination of the 2011 employee rosters of a sample of 500 hospitals, nursing facilities, home health agencies, and pharmacies in 12 MCEs, the OIG identified 16 excluded individuals among the employees of 14 providers. The OIG attributed the employment of excluded individuals to incorrect names and failure of contractors to follow procedures. Providers reported using a variety of safeguards to prevent the employment of excluded individuals, but they cited costs and resource burdens as challenges to execution of those safeguards. A small segment of providers (7%) in the selected MCEs reported not checking the exclusions status of their employees, mainly because these providers lacked knowledge regarding exclusions.