As previously discussed, on April 3, 2020, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a process for inquiries to be submitted to OIG about whether administrative enforcement discretion would be provided for certain arrangements directly connected to the 2019 novel coronavirus (COVID-19). OIG established this process to provide regulatory flexibility to ensure necessary care responding to COVID-19, particularly with respect to the federal anti-kickback statute (AKS) and civil monetary penalty (CMP) beneficiary inducement prohibition provisions. OIG responses are publicly available through a frequently asked questions (FAQ) posting on the OIG COVID-19 portal. OIG has continued to update this FAQ since its initial publication, including the recent inquiry discussed in our May 17 post, providing guidance on the following question:
“Would the offer or provision of cash, cash-equivalent, or in-kind incentives or rewards to Federal health care program beneficiaries who receive COVID-19 vaccinations during the public health emergency violate OIG’s administrative enforcement authorities?”
A broad range of entities are offering a wide variety of incentives and rewards from food and beverages, tickets to concerts and baseball games, cash, to even State sponsored exclusive lottery tickets, to individuals who receive the COVID-19 vaccine. Because effective, expeditious, and widespread vaccine administration is crucial to the COVID-19 pandemic response, OIG has concluded that because certain incentives and rewards may promote broader access to and uptake of COVID-19 vaccinations, these incentives do not violate OIG’s administrative enforcement authorities.