It’s time for smarter exclusion monitoring.

We deliver healthcare’s most trusted ongoing OIG exclusion monitoring and state Medicaid exclusion monitoring for every population.

Here’s what you need to know about OIG exclusion monitoring.

We deliver automated ongoing OIG exclusion monitoring for every population across all federal and state lists.

Healthcare Exclusion Data

We’ve made it easy to see the risk of healthcare exclusions across the country.Each month, we update our Exclusion Map with data from all federal and state exclusion or terminated provider lists.

Discover each state’s metrics by clicking on the interactive map.

Alabama Exclusion Data

Total Exclusions: 1,894
Source: Alabama Exclusion List
Format: Electronic
Update Schedule: Monthly

Alaska Exclusion Data

Total Exclusions: 275
Source: Alaska Exclusion List
Format: Electronic
Update Schedule: Monthly

Arizona Exclusion Data

Source: Arizona Exclusion List
Format:
Update Schedule: List No Longer Maintained

Arkansas Exclusion Data

Total Exclusions: 1,325
Source: Arkansas Exclusion List
Format: Electronic
Update Schedule: Monthly

California Exclusion Data

Total Exclusions: 19,321
Source: California Exclusion List
Format: Electronic
Update Schedule: Monthly

Colorado Exclusion Data

Total Exclusions: 177
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

Connecticut Exclusion Data

Total Exclusions: 50
Source: Connecticut Exclusion List
Format: Electronic
Update Schedule: Monthly

Delaware Exclusion Data

Total Exclusions: 268
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

District of Columbia Exclusion Data

Total Exclusions: 15
Source: District of Columbia Exclusion List
Format: Electronic
Update Schedule: Monthly

Florida Exclusion Data

Total Exclusions: 1,331
Source: Florida Exclusion List
Format: Electronic
Update Schedule: Monthly

Georgia Exclusion Data

Total Exclusions: 1,214
Source: Georgia Exclusion List
Format: Electronic
Update Schedule: Monthly

Hawaii Exclusion Data

Total Exclusions: 208
Source: Hawaii Exclusion List
Format: Electronic
Update Schedule: Monthly

Idaho Exclusion Data

Total Exclusions: 135
Source: Idaho Exclusion List
Format: Electronic
Update Schedule: Monthly

Illinois Exclusion Data

Total Exclusions: 2,440
Source: Illinois Exclusion List
Format: Electronic
Update Schedule: Monthly

Indiana Exclusion Data

Total Exclusions: 88
Source: Indiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Iowa Exclusion Data

Total Exclusions: 682
Source: Iowa Exclusion List
Format: Electronic
Update Schedule: Monthly

Kansas Exclusion Data

Total Exclusions: 56
Source: Kansas Exclusion List
Format: Electronic
Update Schedule: Monthly

Kentucky Exclusion Data

Total Exclusions: 202
Source: Kentucky Exclusion List
Format: Electronic
Update Schedule: Monthly

Louisiana Exclusion Data

Total Exclusions: 4,405
Source: Louisiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Maine Exclusion Data

Total Exclusions: 980
Source: Maine Exclusion List
Format: Electronic
Update Schedule: Monthly

Maryland Exclusion Data

Total Exclusions: 1,498
Source: Maryland Exclusion List
Format: Electronic
Update Schedule: Monthly

Massachusetts Exclusion Data

Total Exclusions: 196
Source: Massachusetts Exclusion List
Format: Electronic
Update Schedule: Monthly

Michigan Exclusion Data

Total Exclusions: 2,606
Source: Michigan Exclusion List
Format: Electronic
Update Schedule: Monthly

Minnesota Exclusion Data

Total Exclusions: 1,118
Source: Minnesota Exclusion List
Format: Electronic
Update Schedule: Monthly

Mississippi Exclusion Data

Total Exclusions: 164
Source: Mississippi Exclusion List
Format: Electronic
Update Schedule: Monthly

Missouri Exclusion Data

Total Exclusions: 181
Source: Missouri Exclusion List
Format: Electronic
Update Schedule: Monthly

Montana Exclusion Data

Total Exclusions: 119
Source: Montana Exclusion List
Format: Electronic
Update Schedule: Monthly

Nebraska Exclusion Data

Total Exclusions: 1,021
Source: Nebraska Exclusion List
Format: Electronic
Update Schedule: Monthly

Nevada Exclusion Data

Total Exclusions: 634
Source: Nevada Exclusion List
Format: Electronic
Update Schedule: Monthly

New Hampshire Exclusion Data

Total Exclusions: 47
Source: New Hampshire Exclusion List
Format: Electronic
Update Schedule: Monthly

New Jersey Exclusion Data

Total Exclusions: 3,789
Source: New Jersey Exclusion List
Format: Electronic
Update Schedule: Monthly

New Mexico Exclusion Data

Source: New Mexico Exclusion List
Format:
Update Schedule:

New York Exclusion Data

Total Exclusions: 7,445
Source: New York Exclusion List
Format: Electronic
Update Schedule: Monthly

North Carolina Exclusion Data

Total Exclusions: 63
Source: North Carolina Exclusion List
Format: Electronic
Update Schedule: Monthly

North Dakota Exclusion Data

Total Exclusions: 147
Source: North Dakota Exclusion List
Format: Electronic
Update Schedule: Monthly

Ohio Exclusion Data

Total Exclusions: 1,565
Source: Ohio Exclusion List
Format: Electronic
Update Schedule: Monthly

Oklahoma Exclusion Data

Source: Oklahoma Exclusion List
Format:
Update Schedule:

Oregon Exclusion Data

Source: Oregon Exclusion List
Format:
Update Schedule:

Pennsylvania Exclusion Data

Total Exclusions: 5,244
Source: Pennsylvania Exclusion List
Format: Electronic
Update Schedule: Monthly

Rhode Island Exclusion Data

Source: Rhode Island Exclusion List
Format:
Update Schedule:

South Carolina Exclusion Data

Total Exclusions: 847
Source: South Carolina Exclusion List
Format: Electronic
Update Schedule: Monthly

South Dakota Exclusion Data

Source: South Dakota Exclusion List
Format:
Update Schedule:

Tennessee Exclusion Data

Total Exclusions: 15
Source: Tennessee Exclusion List
Format: Electronic
Update Schedule: Monthly

Texas Exclusion Data

Total Exclusions: 10,791
Source: Texas Exclusion List
Format: Electronic
Update Schedule: Monthly

Utah Exclusion Data

Source: Utah Exclusion List
Format:
Update Schedule:

Vermont Exclusion Data

Total Exclusions: 51
Source: Vermont Exclusion List
Format: Electronic
Update Schedule: Monthly

Virginia Exclusion Data

Source: Virginia Exclusion List
Format:
Update Schedule:

Washington Exclusion Data

Total Exclusions: 222
Source: Washington Exclusion List
Format: Electronic
Update Schedule: Monthly

West Virginia Exclusion Data

Total Exclusions: 92
Source: West Virginia Exclusion List
Format: Electronic
Update Schedule: Monthly

Wisconsin Exclusion Data

Source: Wisconsin Exclusion List
Format:
Update Schedule:

Wyoming Exclusion Data

Total Exclusions: 105
Source: Wyoming Exclusion List
Format: Electronic
Update Schedule: Monthly

HHS OIG LEIE

Total Exclusions: 74,299

SAM.gov Database

Total Exclusions: 70,457

State Exclusion Data

Total Exclusions: 73,055

What makes our exclusion monitoring smarter than anyone else's?

Exclusion Monitoring

Fully Automated Ongoing Exclusion Monitoring

Our exclusion monitoring solution is fully automated, screening your employees, providers, and vendors against every state and federal exclusion source every single day. We screen every individual or entity across the OIG LEIE, SAM/GSA and all 42 state Medicaid exclusion lists continuously to ensure we catch every exclusion as quickly as possible to power critical business processes and keep people safe.

Exact-Match Verification. No More False-Positives.

No more false positives or potential exclusion results. Our best-in-class monitoring science verifies every potential exclusion result on a continuous basis, delivering you exact-matches – confirmed, actionable results to empower faster, more informed decisions about provider and employee eligibility.

Exact Match Verification
Be Confident in Your Data

Even Better Than the Primary Source

We enrich both primary source data and our client’s data records with identifiers to catch and verify issues no one else can, alerting you to issues you would never otherwise find. From the beginning, we set out to do healthcare monitoring better than anyone else. This meant we had to aggregate, clean, and enrich primary source data until our proprietary dataset was smarter than the original sources.

Reduce Your Organizational Risk

You never know when a compliance issue could strike, and timeliness is crucial. Monitor all federal and state exclusion lists in real-time and be alerted if anything needs your attention. A comprehensive solution allows your organization to avoid false claims, corporate integrity agreements, and more. Our solution records and reports every OIG and state Medicaid exclusion within your populations and is always audit and survey-ready. And for extra peace of mind, we guarantee our work with a $5 million E&O Policy.

Reduce Your Risk
Same Time and Resources

Seamless Integrations Designed to Scale

We’ve designed flexible exclusion monitoring solutions to integrate into your existing workflows, both within our software suite and through our powerful APIs. Enterprise healthcare organizations integrate our solution into their systems of record, such as an HRIS, referral management software, or a claims processing system.

An Award-Winning Client Success Team

Our team combines advanced technology with human experts to keep you compliant, safe and efficient. We keep our clients updated with innovations, organizational reports, and ProviderTrust Insights about your monitored populations and risk. Don’t settle for less from other vendors. We value relationships and creating better, safer healthcare with a dedicated Client Success team.

A Partner You Can Trust

Six Tips for Navigating Continuous Change

As organizations work to adapt to a quickly changing market, some processes and behaviors will be altered for the long term, and some will continue to adapt. Get the tip sheet to learn more.

OIG Exclusion Monitoring FAQ

An exclusion is an administrative action taken against an individual or entity by the Dept. of Health and Human Services (HHS), Office of Inspector General (OIG) or a State Medicaid Agency.

OIG imposes exclusions under the authority of sections 1128 and 1156 of the Social Security Act. If an individual or entity is excluded, they are prohibited from participating in reimbursements for or from federally funded healthcare programs through the Centers for Medicare and Medicaid Services (CMS). Once an individual or entity is excluded, they are considered excluded in all states.

Healthcare organization who bill federal and state healthcare programs should be checking both federal and state Medicaid exclusion lists. The two federal exclusion sources are OIG LEIE and the SAM.gov database.

There are currently 43 state Medicaid excluded/sanctioned/terminated provider lists. Each list is updated and distributed at different intervals and in various formats, making it difficult to verify and screen without a third party.

Exclusion data is messy, incomplete, and varies greatly by source. Our verification tools use sorting algorithms and advanced data grouping to make a more complete profile for providers, employees, healthcare vendors, and more which is not present on government databases or registries. ProviderTrust maintains a proprietary grid of excluded individuals and entities that enhances state and federal exclusion data with additional unique identifiers and additional information (such as license number, NPI, former names, etc.).

Exclusion data is messy, incomplete, and varies greatly by source. Our verification tools use sorting algorithms and advanced data grouping to make a more complete profile for providers, employees, healthcare vendors, and more which is not present on government databases or registries. ProviderTrust maintains a proprietary grid of excluded individuals and entities that enhances state and federal exclusion data with additional unique identifiers and additional information (such as license number, NPI, former names, etc.).

Get smarter exclusion monitoring today.