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.

What makes our exclusion monitoring smarter than the rest?

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: 1,934
Source: Alabama Exclusion List
Format: Electronic
Update Schedule: Monthly

Alaska Exclusion Data

Total Exclusions: 274
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Update Schedule: List No Longer Maintained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: 1,644
Source: Arkansas Exclusion List
Format: Electronic
Update Schedule: Monthly

California Exclusion Data

Total Exclusions: 20,000
Source: California Exclusion List
Format: Electronic
Update Schedule: Monthly

Colorado Exclusion Data

Total Exclusions: 192
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

Connecticut Exclusion Data

Total Exclusions: 52
Source: Connecticut Exclusion List
Format: Electronic
Update Schedule: Monthly

Delaware Exclusion Data

Total Exclusions: 273
Source: Email Request Only
Format: Electronic
Update Schedule: Monthly

District of Columbia Exclusion Data

Total Exclusions: 24
Source: District of Columbia Exclusion List
Format: Electronic
Update Schedule: Monthly

Florida Exclusion Data

Total Exclusions: 1,482
Source: Florida Exclusion List
Format: Electronic
Update Schedule: Monthly

Georgia Exclusion Data

Total Exclusions: 1,231
Source: Georgia Exclusion List
Format: Electronic
Update Schedule: Monthly

Hawaii Exclusion Data

Total Exclusions: 221
Source: Hawaii Exclusion List
Format: Electronic
Update Schedule: Monthly

Idaho Exclusion Data

Total Exclusions: 145
Source: Idaho Exclusion List
Format: Electronic
Update Schedule: Monthly

Illinois Exclusion Data

Total Exclusions: 2,506
Source: Illinois Exclusion List
Format: Electronic
Update Schedule: Monthly

Indiana Exclusion Data

Total Exclusions: 95
Source: Indiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Iowa Exclusion Data

Total Exclusions: 774
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: 234
Source: Kentucky Exclusion List
Format: Electronic
Update Schedule: Monthly

Louisiana Exclusion Data

Total Exclusions: 4,556
Source: Louisiana Exclusion List
Format: Electronic
Update Schedule: Monthly

Maine Exclusion Data

Total Exclusions: 989
Source: Maine Exclusion List
Format: Electronic
Update Schedule: Monthly

Maryland Exclusion Data

Total Exclusions: 1,505
Source: Maryland Exclusion List
Format: Electronic
Update Schedule: Monthly

Massachusetts Exclusion Data

Total Exclusions: 210
Source: Massachusetts Exclusion List
Format: Electronic
Update Schedule: Monthly

Michigan Exclusion Data

Total Exclusions: 2,771
Source: Michigan Exclusion List
Format: Electronic
Update Schedule: Monthly

Minnesota Exclusion Data

Total Exclusions: 1,192
Source: Minnesota Exclusion List
Format: Electronic
Update Schedule: Monthly

Mississippi Exclusion Data

Total Exclusions: 177
Source: Mississippi Exclusion List
Format: Electronic
Update Schedule: Monthly

Missouri Exclusion Data

Total Exclusions: 191
Source: Missouri Exclusion List
Format: Electronic
Update Schedule: Monthly

Montana Exclusion Data

Total Exclusions: 118
Source: Montana Exclusion List
Format: Electronic
Update Schedule: Monthly

Nebraska Exclusion Data

Total Exclusions: 1,040
Source: Nebraska Exclusion List
Format: Electronic
Update Schedule: Monthly

Nevada Exclusion Data

Total Exclusions: 716
Source: Nevada Exclusion List
Format: Electronic
Update Schedule: Monthly

New Hampshire Exclusion Data

Total Exclusions: 52
Source: New Hampshire Exclusion List
Format: Electronic
Update Schedule: Monthly

New Jersey Exclusion Data

Total Exclusions: 3,808
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: 7,613
Source: New York Exclusion List
Format: Electronic
Update Schedule: Monthly

North Carolina Exclusion Data

Total Exclusions: 64
Source: North Carolina Exclusion List
Format: Electronic
Update Schedule: Monthly

North Dakota Exclusion Data

Total Exclusions: 155
Source: North Dakota Exclusion List
Format: Electronic
Update Schedule: Monthly

Ohio Exclusion Data

Total Exclusions: 1,667
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: 4,118
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: 865
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: 17
Source: Tennessee Exclusion List
Format: Electronic
Update Schedule: Monthly

Texas Exclusion Data

Total Exclusions: 10,931
Source: Texas Exclusion List
Format: Electronic
Update Schedule: Monthly

Utah Exclusion Data

Source: Utah Exclusion List
Format:
Update Schedule:

Vermont Exclusion Data

Total Exclusions: 39
Source: Vermont Exclusion List
Format: Electronic
Update Schedule: Monthly

Virginia Exclusion Data

Source: Virginia Exclusion List
Format:
Update Schedule:

Washington Exclusion Data

Total Exclusions: 228
Source: Washington Exclusion List
Format: Electronic
Update Schedule: Monthly

West Virginia Exclusion Data

Total Exclusions: 102
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: 108
Source: Wyoming Exclusion List
Format: Electronic
Update Schedule: Monthly

HHS OIG LEIE

Total Exclusions: 74,724

SAM.gov Database

Total Exclusions: 70,384

State Exclusion Data

Total Exclusions: 74,391

An Interactive Guide to Selecting an Exclusion Monitoring Solution

What should you be looking for in an exclusion monitoring solution? Explore what separates the best from the rest in this interactive guide!

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 42 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.

Provider organizations are required to screen employees and vendors at least once a month. However, because each source updates at a different frequency (and because manually checking sources wastes time and energy), ongoing exclusion monitoring has become the industry best practice.

This service model allows you to know as soon as someone in your population appears on an exclusion list, instead of finding out weeks later. Automated ongoing exclusion monitoring relies on matching algorithms that compare your monitored populations to an aggregated dataset of all federal and state exclusions. Automation is critical for enterprise organizations, but the amount of work required from internal teams can vary significantly across solutions.

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.