Vendors do not need to be submitting claims to be required to screen. As a contractor to a school or hospital, your vendor organization could be “causing the Medicaid money to flow” from the federal system to the school or hospital that has notified you. This means that your organization “adds value to a claim” or is “used to make a claim” or “provides products or services that show up on a rate-based report”. It is up to the individual healthcare facility to determine how to calculate its rates for reimbursement and to create cost reports, and to include vendor products/services in this process. If you have questions about why you have been asked to conduct sanction screening, please reach out to the organization that has sent the letter to you.