Quickly search all State Medicaid Exclusion Lists, OIG Exclusions, and SAM.gov simultaneously, greatly simplifying your monthly Exclusions Screening requirements.
Providers excluded by the Office of Inspector General (OIG), terminated by a State Medicaid Agency, or debarred cannot participate in federally funded healthcare programs. This includes Medicaid, TRICARE, and the Children’s Health Insurance Program (CHIP). Additionally, the Centers for Medicare & Medicaid Services (CMS) has the authority to revoke billing privileges, prohibiting the provider from participating in Medicare.
Providers are liable for overpayments made for any items or services provided by any excluded person for which the provider received reimbursement from federal healthcare programs. Additionally, the provider may face Civil Monetary Penalties (CMP) if they fail to ensure that proper exclusion screening has been conducted.
HealthProviders DB is an extensive database of healthcare providers featuring over 9 million comprehensive profiles, updated daily!
Enter an NPI number, license number, or provider name in the search field below to search OIG Exclusions, SAM Exclusions, and all State Exclusions lists at once.
Alternatively, you can also search the Provider Profiles.
To filter by state, select it from the list below. Additionally, you can narrow the list by city, among other options, from the Filter Panel. Click the vertical ellipses ⋮ in the upper-right to open the filter panel.
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Save Time & Money, we can help you with Exclusions Screening
- Make your life easier and save hours on manual exclusion checks!
- Maintain compliance with federally funded healthcare programs.
- Avoid Civil Monetary Penalties.
- Efficiently screen all your providers for OIG Exclusions, SAM Exclusions, and all State Medicaid Exclusion lists at once.
- Comprehensive and audit-ready Exclusions Report.
Non-compliance can be severe!
- Required repayment of claims.
- Costly Civil Monetary Penalties.
- Loss of access to federally funded healthcare programs.
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State Medicaid Sanctions, Suspensions, Terminations, and Exclusion lists
All state Medicaid Sanctions, Suspensions, Terminations, and Exclusion lists are imported monthly as they become available, keeping the Healthcare Provider Profiles up to date.
- Alabama Medicaid Suspended Providers List
- Alaska Medical Assistance Excluded Providers List
- Arizona Provider Exclusion List
- Arizona Provider Suspensions and Terminations List
- Arkansas Medicaid Excluded Providers List
- Medi-Cal Medicaid Provider Suspended and Ineligible List
- Colorado Medicaid Terminated Providers List
- Connecticut Quality Assurance Administrative Actions List
- Delaware Medicaid Sanctioned Providers List
- DC Excluded Parties List
- Florida Agency for Health Care Administration Public Records
- Georgia Medicaid List of Excluded Individuals
- Hawaii Provider Exclusion/Reinstatement List
- Idaho Medicaid Provider Exclusion List
- Illinois Provider Sanctions List
- Indiana Medicaid Terminated Providers List
- Iowa Medicaid Sanction List
- Kansas Medicaid Terminated Providers List
- Kentucky Terminated and Excluded Providers List
- Louisiana Adverse Actions List
- MaineCare List of Excluded Individuals/Entities
- Maryland Medicaid Sanctioned Providers List
- MassHealth List of Suspended or Excluded Providers
- Michigan Medicaid Sanctioned Provider List
- Minnesota Health Care Programs Excluded Individual Providers List
- Mississippi Sanctioned Provider List
- Missouri Provider Sanctions List
- Montana Medicaid Excluded and Terminated Providers List
- Nebraska Medicaid Excluded Providers List
- Nevada Provider Exclusions/Sanctions List
- New Hampshire Medicaid Provider Exclusion and Sanction List
- New Jersey Medicaid Ineligible Provider List
- New Mexico does not maintain a state exclusion list
- New York State Medicaid Exclusion List
- North Carolina Medicaid Provider Termination and Exclusion List
- North Dakota Medicaid Provider Exclusion List
- Ohio Medicaid Provider Exclusion & Suspension List
- Oklahoma does not maintain a state exclusion list.
- Oregon Medicaid Fraud Convictions
- Pennsylvania Medicheck Precluded Providers List
- Rhode Island does not maintain a state exclusion list.
- South Carolina Medicaid Excluded & Terminated Providers List
- South Dakota does not maintain a state exclusion list.
- Tennessee Program Integrity Terminated Provider List
- Texas Medicaid Provider Exclusion List
- Utah does not maintain a state exclusion list.
- Vermont Medicaid Excluded Provider List
- Virginia does not maintain a state exclusion list.
- Washington Health Care Authority Provider Termination and Exclusion List
- West Virginia Provider Exclusions and Terminations List
- Wisconsin does not maintain a state exclusion list.
- Wyoming Provider Exclusion List
Frequently Asked Questions
States are required to notify the Health and Human Services (HHS) Office of Inspector General (OIG) only when they exclude or terminate an individual or entity based on federal law.
States are not required to notify the OIG (nor should they) of actions based on State laws because if the sanction fails to meet the criteria for a federal exclusion, the exclusion will not be posted on the LEIE.
Plus, it can take several months for the OIG to process the State-reported sanction, determine whether it will also impose a federal exclusion based on a violation of federal laws, and post it to the LEIE.
For instance, a State might exclude a party for failing to pay State taxes or for other reasons that would not be valid bases for federal exclusion. For this reason, states maintain a list of individuals and entities who are terminated, suspended, sanctioned, or otherwise excluded from the State Medicaid program under State law.
The key difference is that federal exclusion lists do not include state exclusions; thus, the State list is where to find exclusions based on violations of State laws.
Another difference is that some State lists don’t exclusively contain healthcare sanctions. They are a centralized list of several sanctions, each with a different impact. This is similar to the System for Award Management (SAM), which includes debarments beyond the healthcare sector.
States aren’t required to maintain a State exclusion list, and seven states have elected not to: New Mexico, Oklahoma, Rhode Island, South Dakota, Utah, Virginia, and Wisconsin.
These states may have other sanction lists. For example, State agencies responsible for contracting may maintain a separate debarment list; the agency responsible for providing services to those in need of care may maintain a list of individuals who cannot participate; or the State Department of Health might maintain its own list, and so on.
You’d think we would have a standard for something this important, but sadly, no.
Unfortunately, each state that publishes an exclusion list uses a different format and varies in level of detail.
Some lists are in Excel format, others are in Word or PDF, and some are simply HTML web pages.
Information available in State Exclusion Lists can also vary widely, with some that include little more than a name and address.
HealthProviders DB is a comprehensive national database that consolidates all State Medicaid Exclusion Lists to ensure you have access to the most up-to-date and accurate information available.
Section 6501 of the Affordable Care Act (ACA), Termination of Provider Participation Under Medicaid if Terminated Under Medicare or Other State Plan, requires State Medicaid programs and the Children’s Health Insurance Program (CHIP) to terminate the participation of any individual or entity that has been terminated from Medicare or any other State’s Medicaid program for cause.
This provision is intended to enhance program integrity by ensuring that federal funds do not reach providers excluded for serious offenses, such as fraud or abuse, regardless of the originating state’s termination.
However, a terminated provider could still work at healthcare organizations if they don’t provide services that are billable to Medicare. If they don’t bill Medicare directly for their services, they can still work in administrative roles at healthcare organizations.
For instance, a nurse practitioner who has been terminated (but not excluded) from Medicare could take on a different position at a hospital, as long as the services provided are not directly billable to Medicare.
According to the OIG’s Special Advisory Bulletin issued in May 2013, the OIG recommends that healthcare organizations check their employees and contractors against the LEIE monthly.
42 CFR Part § 455.436(c)(2) Federal database checks states, “check the LEIE and SAM no less frequently than monthly.”
Monthly screening is mandatory in at least 14 States, while many others strongly recommend that providers screen employees and vendors against their State lists and the LEIE monthly.