Surrendering a single state license- ramifications to keeping other licenses?

[QQQ]

On 8/3/2022 at 1:35 PM, solarex said:

Very true and great point.  A suspended license will get you in the national databank, but overwhelmingly NOT likely to get you into the State Medicaid/Medicare Exclusion Database or the Federal Office of Inspector General Exclusion Database.  If you were entered into a State Exclusion Database or the Federal Database for a suspended license, this is generally removable immediately when your licensed is reinstated and you are put back on probation by the nurse board, BUT..........Here is the danger....When you have a revoked nursing license or when you Surrender your nursing license, it's nearly automatic.  The odds of going into a State Database with a surrendered nursing license is about 75%, and here is the problem.  The Nurse Board recommends to the State Medicaid/Department of Health how long you should be excluded for, and this exclusion is generally no less than 3 years, and usually with a surrendered license, 5 years.  Once that recommendation is received and you are entered into that State's Exclusion Database, that State automatically (by law) has to report you to the OIG (Federal Database) and the Federal OIG exclusion database takes the recommendations from the state on the length of exclusion of which you will have a 5 year exclusion and getting off it it is incredibly difficult before that 5 year mark.  This is why you never surrender you license.  Surrendering a license is basically like having a Revoked license in the eyes of Medicaid/Medicare State and OIG Exclusion Federal Database.

Even if your license is intact in your home state and you are working well through recovery, the state that you surrendered your license to across the country will likely catch up to you and once you are in the OIG Database, you aren't working anywhere in the medical field, period.  Check this out, with the Nursy's system when you apply to work somewhere, the employer also check's each state's Medicaid Exclusion Database to ensure you are not on it, because sometimes a nurse can be on a State Exclusion Database, but not on the Federal OIG Database, but employers will quickly terminate you because they expect that state to report it to the Feds, and they anticipate that it will be a matter of time before you are on the OIG Federal Database.

Never surrender your license, ever!  For criminal CONVICTIONS where you plead guilty for a felony, it's an automatic 5 year exclusion minimum and often 10 years.  What I am getting at is this.... there are many nurses who do well in recover and they recover and are able to practice and go back into nursing, but the decision to surrender their license in another state basically ends their career.  In order to overcome it, forget about 5 year monitoring program, think in terms of like 7.5 years.  2.5 to 3 years before you can work again and the time to get off the exclusion list, then the Nurse Board starts your 5 year clock for monitoring, and during those first 2.5 or 3 years, you aren't working in nursing, so right off the bat a financial issue is there.  Most nurses will not wait it out 7.5 years.  Again, NEVER surrender your license.

Do you have an email to talk ?

[QQQ]

On 8/3/2022 at 1:35 PM, solarex said:

Very true and great point.  A suspended license will get you in the national databank, but overwhelmingly NOT likely to get you into the State Medicaid/Medicare Exclusion Database or the Federal Office of Inspector General Exclusion Database.  If you were entered into a State Exclusion Database or the Federal Database for a suspended license, this is generally removable immediately when your licensed is reinstated and you are put back on probation by the nurse board, BUT..........Here is the danger....When you have a revoked nursing license or when you Surrender your nursing license, it's nearly automatic.  The odds of going into a State Database with a surrendered nursing license is about 75%, and here is the problem.  The Nurse Board recommends to the State Medicaid/Department of Health how long you should be excluded for, and this exclusion is generally no less than 3 years, and usually with a surrendered license, 5 years.  Once that recommendation is received and you are entered into that State's Exclusion Database, that State automatically (by law) has to report you to the OIG (Federal Database) and the Federal OIG exclusion database takes the recommendations from the state on the length of exclusion of which you will have a 5 year exclusion and getting off it it is incredibly difficult before that 5 year mark.  This is why you never surrender you license.  Surrendering a license is basically like having a Revoked license in the eyes of Medicaid/Medicare State and OIG Exclusion Federal Database.

Even if your license is intact in your home state and you are working well through recovery, the state that you surrendered your license to across the country will likely catch up to you and once you are in the OIG Database, you aren't working anywhere in the medical field, period.  Check this out, with the Nursy's system when you apply to work somewhere, the employer also check's each state's Medicaid Exclusion Database to ensure you are not on it, because sometimes a nurse can be on a State Exclusion Database, but not on the Federal OIG Database, but employers will quickly terminate you because they expect that state to report it to the Feds, and they anticipate that it will be a matter of time before you are on the OIG Federal Database.

Never surrender your license, ever!  For criminal CONVICTIONS where you plead guilty for a felony, it's an automatic 5 year exclusion minimum and often 10 years.  What I am getting at is this.... there are many nurses who do well in recover and they recover and are able to practice and go back into nursing, but the decision to surrender their license in another state basically ends their career.  In order to overcome it, forget about 5 year monitoring program, think in terms of like 7.5 years.  2.5 to 3 years before you can work again and the time to get off the exclusion list, then the Nurse Board starts your 5 year clock for monitoring, and during those first 2.5 or 3 years, you aren't working in nursing, so right off the bat a financial issue is there.  Most nurses will not wait it out 7.5 years.  Again, NEVER surrender your license.

Do you have experience with this? Can you reach out if you do? With state exclusion?