Healthcare Exclusion Lookup
State Medicaid exclusion lists: where to find and check them
Last updated · Starry Night
The OIG exclusion list (LEIE) is national, but it is not the only list. State Medicaid agencies terminate and exclude providers from their own programs, and many publish those actions as a searchable list or a download. Someone can appear on a state list without appearing on the LEIE. This guide explains how the state lists fit in and links to the ones this site loads.
How state lists differ from the LEIE
- Who acts. The LEIE records exclusions by HHS-OIG, which bar payment from all federal health care programs (42 CFR 1001.1901). A state list records the state Medicaid agency's own terminations, exclusions or sanctions under state law and its Medicaid program rules.
- What they cover. Each state decides what its list includes. Some list only exclusions; others also list terminations, suspensions or other adverse actions, and some cover more programs than Medicaid.
- Format and dates. Lists come as spreadsheets, text files or web searches, with their own update schedules. Some state an as-of date in the file and some do not.
- Cross-state effect. Under 42 CFR 455.416(c), a state Medicaid agency must deny or terminate the enrollment of a provider terminated under Medicare or another state's Medicaid program (on or after January 1, 2011) and listed in the CMS termination database. A termination in one state can therefore follow a provider to another.
Do you have to check them?
The federal rule at 42 CFR 455.436 tells the state Medicaid agency to check federal databases, including the LEIE, at least monthly. It does not, by itself, tell providers to check state lists. OIG's Updated Special Advisory Bulletin on the Effect of Exclusion (May 8, 2013) notes in its footnote 27 that CMS recommended states consider requiring providers to screen monthly. Some states do this through their own rules, provider manuals or provider and managed care agreements, so the answer depends on where you bill Medicaid. Read the provider agreement and manual for each state you work in. A practical approach is to screen against the list of every state where you are enrolled, and of the states where new staff were licensed or worked before.
Lists this service loads
The screening record page keeps a copy of each of these public lists, downloaded from the agency's own published file and checked for updates on a schedule:
| State | List (agency) | As of |
|---|---|---|
| NY | New York Medicaid Exclusion List New York State Office of the Medicaid Inspector General (OMIG) | no date in file |
| CA | Medi-Cal Suspended and Ineligible Provider List (S&I List) California Department of Health Care Services (DHCS) | 2026-10 |
| TX | Texas Medicaid and HHS Exclusions List Texas Health and Human Services Commission, Office of Inspector General (HHSC-OIG) | 2026-11-09 |
| MI | Michigan Medicaid Sanctioned Provider List Michigan Department of Health and Human Services (MDHHS) | 2026-11-02 |
| GA | Georgia OIG List of Excluded Individuals and Entities Georgia Department of Community Health, Office of Inspector General | 2026-11-02 |
| MD | Maryland Medicaid Sanctioned Providers Maryland Department of Health, Maryland Medicaid | 2026-10-08 |
| LA | Louisiana Department of Health Adverse Actions List Louisiana Department of Health (LDH) | no date in file |
| AR | Arkansas DHS Excluded Provider List (all DHS programs) Arkansas Department of Human Services (DHS) | no date in file |
| KY | Kentucky Medicaid Provider Termination and Exclusion List Kentucky Department for Medicaid Services (DMS) | 2026-10-29 |
| NC | NC Medicaid State Excluded Providers List North Carolina Department of Health and Human Services, NC Medicaid | 2026-09-30 |
| WA | Washington Provider Termination and Exclusion List Washington State Health Care Authority (HCA) | 2026-10-10 |
Scopes differ: the Arkansas list covers every DHS program, not only Medicaid; for Washington only the Health Care Authority (Apple Health) list is loaded, not the DSHS list; Louisiana's is an adverse actions list. Entries a file marks as reinstated are left out. Not loaded: Florida, Illinois, Pennsylvania, New Jersey, Ohio, Massachusetts and the other states not listed above.
How to screen a roster against state lists
- List the states that apply: where you bill Medicaid, and where new staff previously worked.
- Find each state's list on its Medicaid agency or Medicaid inspector general site (the table above links the ones loaded here).
- Screen every name, including former names, against each list and against the LEIE.
- Verify any possible match with the state agency that publishes the list. Verification usually means the agency's own lookup or contacting the agency.
- Keep a dated record of which lists, and which version of each, you screened.
Screen the LEIE and state lists together
The screening record page screens up to 500 names at once against the LEIE and 11 state Medicaid lists (NY, CA, TX, MI, GA, MD, LA, AR, KY, NC, WA), with name matching that handles word order, middle names, nicknames and small typos, and builds a dated PDF record of the run. On-screen results and a PDF marked PREVIEW are free; a $19 one-time unlock removes the watermark for 24 hours. Names are not stored.
Every state-list possible match in the record links to that state agency's list for verification. The connector for Claude searches the LEIE only.
Honest limits
- A copy of a state list is only as current as the agency's last published file; agencies update on their own schedules.
- Name matching can miss someone listed under another name, and state files format names in many ways.
- Not every state publishes a downloadable list, and this site loads only the lists shown above. Check the states that apply to you.
Questions
Is the OIG exclusion list the same as a state Medicaid exclusion list?
No. The LEIE lists HHS-OIG exclusions from all federal health care programs. A state Medicaid agency can terminate or exclude a provider from its own program, and those actions appear on the state's list, which may include people who are not on the LEIE.
Do I have to check state Medicaid exclusion lists?
It depends on the state. 42 CFR 455.436 sets screening duties for the state Medicaid agency itself. Duties for providers come from each state's rules, provider manuals and provider or managed care agreements, so check the documents for each state where you bill Medicaid.
Which state lists does the screening record page include?
The lists named on this page under "Lists this service loads". Other states publish lists too, and they are not included.
This guide explains public rules and OIG guidance in plain English. It is not legal advice; for a decision about a specific person or claim, talk to your health care counsel. Healthcare Exclusion Lookup is published by Starry Night and is not affiliated with HHS-OIG, CMS or any state agency.