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Please click here to view the full topic text : Brown Recluse Spider BiteBackground : The brown recluse spider ( Loxosceles reclusa ; see Images 1-2 ) is the most prevalent of the Loxosceles species in the United States . The Inspector General excluded Petitioner from the Medicare and Medicaid programs on the basis that Petitioner had surrendered his license to practice medicine in the State of Minnesota while a formal disciplinary proceeding was pending against him before the Minnesota Board of Medical Examiners . Range : This species is distributed in the coastal waters from the Santa Ynez River of central California to the Arctic coast of Canada and west to the Sea of Japan . advised Petitioner that he would have the right to apply for reinstatement to the Medicare and Medicaid programs if he obtained a valid license to practice medicine from the State of Minnesota . Although the prevalence of MAI has increased following the AIDS epidemic , it remains a rare cause of skin disease . Section 1861 ( r ) of the Act defines a " physician " eligible for participation in the Medicare program as an individual who is " legally authorized to practice medicine and surgery by the State in which he performs such function or action . The prior law mandated suspension from participation in the Medicare and state programs of physicians and other individuals convicted of a " criminal offense related to such individual 's participation in the delivery of medical care or services " under Medicare , Medicaid , or the social services programs . Other members of the Loxosceles species are found throughout the world . The sedimentary record is similar to others obtained by the Ocean Drilling Program in the Cariaco Basin , Saanich Inlet , and Santa Barbara Basin .