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

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Are you aware of the blindspots in your exclusion monitoring process?

We automate ongoing 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: 1,800
Source: Alabama Exclusion List
Format: Electronic
Update Schedule: Monthly

Alaska Exclusion Data

Total Exclusions: 291
Source: Alaska Exclusion List
Format: Electronic
Update Schedule: Monthly

Arizona Exclusion Data

Total Exclusions: 1
Source: Arizona Exclusion List
Format: Electronic
Update Schedule: Monthly

Arkansas Exclusion Data

Total Exclusions: 1,739
Source: Arkansas Exclusion List
Format: Electronic
Update Schedule: Monthly

California Exclusion Data

Total Exclusions: 18,413
Source: California Exclusion List
Format: Electronic
Update Schedule: Monthly

Colorado Exclusion Data

Total Exclusions: 138
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

Connecticut Exclusion Data

Total Exclusions: 78
Source: Connecticut Exclusion List
Format: Electronic
Update Schedule: Monthly

Delaware Exclusion Data

Total Exclusions: 225
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: 1,227
Source: Florida Exclusion List
Format: Electronic
Update Schedule: Monthly

Georgia Exclusion Data

Total Exclusions: 1,134
Source: Georgia Exclusion List
Format: Electronic
Update Schedule: Monthly

Hawaii Exclusion Data

Total Exclusions: 194
Source: Hawaii Exclusion List
Format: Electronic
Update Schedule: Monthly

Idaho Exclusion Data

Total Exclusions: 130
Source: Idaho Exclusion List
Format: Electronic
Update Schedule: Monthly

Illinois Exclusion Data

Total Exclusions: 2,680
Source: Illinois Exclusion List
Format: Electronic
Update Schedule: Monthly

Indiana Exclusion Data

Total Exclusions: 81
Source: Indiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Iowa Exclusion Data

Total Exclusions: 452
Source: Iowa Exclusion List
Format: Electronic
Update Schedule: Monthly

Kansas Exclusion Data

Total Exclusions: 59
Source: Kansas Exclusion List
Format: Electronic
Update Schedule: Monthly

Kentucky Exclusion Data

Total Exclusions: 201
Source: Kentucky Exclusion List
Format: Electronic
Update Schedule: Monthly

Louisiana Exclusion Data

Total Exclusions: 4,365
Source: Louisiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Maine Exclusion Data

Total Exclusions: 939
Source: Maine Exclusion List
Format: Electronic
Update Schedule: Monthly

Maryland Exclusion Data

Total Exclusions: 1,489
Source: Maryland Exclusion List
Format: Electronic
Update Schedule: Monthly

Massachusetts Exclusion Data

Total Exclusions: 171
Source: Massachusetts Exclusion List
Format: Electronic
Update Schedule: Monthly

Michigan Exclusion Data

Total Exclusions: 2,414
Source: Michigan Exclusion List
Format: Electronic
Update Schedule: Monthly

Minnesota Exclusion Data

Total Exclusions: 958
Source: Minnesota Exclusion List
Format: Electronic
Update Schedule: Monthly

Mississippi Exclusion Data

Total Exclusions: 159
Source: Mississippi Exclusion List
Format: Electronic
Update Schedule: Monthly

Missouri Exclusion Data

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

Montana Exclusion Data

Total Exclusions: 114
Source: Montana Exclusion List
Format: Electronic
Update Schedule: Monthly

Nebraska Exclusion Data

Total Exclusions: 1,081
Source: Nebraska Exclusion List
Format: Electronic
Update Schedule: Monthly

Nevada Exclusion Data

Total Exclusions: 797
Source: Nevada Exclusion List
Format: Electronic
Update Schedule: Monthly

New Hampshire Exclusion Data

Total Exclusions: 30
Source: New Hampshire Exclusion List
Format: Electronic
Update Schedule: Monthly

New Jersey Exclusion Data

Total Exclusions: 3,877
Source: New Jersey Exclusion List
Format: Electronic
Update Schedule: Monthly

New Mexico Exclusion Data

No List

New York Exclusion Data

Total Exclusions: 7,233
Source: New York Exclusion List
Format: Electronic
Update Schedule: Monthly

North Carolina Exclusion Data

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

North Dakota Exclusion Data

Total Exclusions: 148
Source: North Dakota Exclusion List
Format: Electronic
Update Schedule: Monthly

Ohio Exclusion Data

Total Exclusions: 1,473
Source: Ohio Exclusion List
Format: Electronic
Update Schedule: Monthly

Oklahoma Exclusion Data

No List

Oregon Exclusion Data

No List

Pennsylvania Exclusion Data

Total Exclusions: 5,035
Source: Pennsylvania Exclusion List
Format: Electronic
Update Schedule: Monthly

Rhode Island Exclusion Data

No List

South Carolina Exclusion Data

Total Exclusions: 816
Source: South Carolina Exclusion List
Format: Electronic
Update Schedule: Monthly

South Dakota Exclusion Data

No List

Tennessee Exclusion Data

Total Exclusions: 10
Source: Tennessee Exclusion List
Format: Electronic
Update Schedule: Monthly

Texas Exclusion Data

Total Exclusions: 11,761
Source: Texas Exclusion List
Format: Electronic
Update Schedule: Monthly

Utah Exclusion Data

No List

Vermont Exclusion Data

Total Exclusions: 48
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

Virginia Exclusion Data

No List

Washington Exclusion Data

Total Exclusions: 225
Source: Washington Exclusion List
Format: Electronic
Update Schedule: Monthly

West Virginia Exclusion Data

Total Exclusions: 115
Source: West Virginia Exclusion List
Format: Electronic
Update Schedule: Monthly

Wisconsin Exclusion Data

No List

Wyoming Exclusion Data

Total Exclusions: 111
Source: Wyoming Exclusion List
Format: Electronic
Update Schedule: Monthly

HHS OIG LEIE

Total Exclusions: 72,293

SAM.gov Database

Total Exclusions: 70,130

State Exclusion Data

Total Exclusions: 70,390

Smarter Exclusion Monitoring

Smarter, More Effective Exclusion Monitoring

ProviderTrust’s advanced sorting algorithm pulls and compares information from multiple databases and registries to find exact matches. We support your data with unique identifiers that complement the screening process, allowing us to find exclusions and sanctions that other vendors miss. 

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Be confident in your data

Be Confident in Your Data

Take the guess-work out of a manual or incomplete process. We’ve mapped out data from each state exclusion/terminated list and compared it with the HHS OIG LEIE, SAM.gov, and other sources. Catch sanctions or excluded providers at the state level before they can affect your organization’s reputation.

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Exact-Match Verification

No more false positives or potential exclusion results. We exact-match verify every potential exclusion result on a continuous basis, delivering you confirmed, actionable data to make informed operational decisions, saving you time and eliminating risk.

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Reduce Your 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, civil monetary penalties, corporate integrity agreements, and more. Easily document and delegate any potential risk that may come up in your provider populations, and always be ready for an audit or survey.

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Save time and resources

Save Time and Resources

Reduce wasted time verifying on your own, and continually updating provider/employee/vendor information. Easily organize and delegate tasks with your team to improve efficiency and overall compliance and collaboration.

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A partner you can trust

A Partner You Can Trust

Our team combines advanced technology with a human element to keep you compliant. Don’t settle for less from other vendors. We value relationships and creating better, safer healthcare with a dedicated Client Success team.

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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.

Your healthcare organization should be checking for exclusions/sanctions monthly (at a minimum) across all populations, including providers, referring physicians, vendors and owners, and more. Because state Medicaid exclusion lists are updated at different times, it is best practice to monitor all exclusion sources continually. Our team is monitoring for new updates from each exclusion source on a daily basis and delivers real-time updates to all of our customers.

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

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Get smarter exclusion monitoring today.

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