A provider clean on the federal list can still be excluded by a state.
The federal OIG LEIE covers exclusions from federal health programs. State Medicaid programs keep their own exclusion lists — and many state-excluded providers never appear on the federal list. Of 5,224 NPI-bearing providers on the state Medicaid exclusion lists Fonteum mirrors today, 3,109 (60%) do not appear on the federal LEIE by NPI — the exact gap a federal-only screen returns as a false clean. Aggregate-level, framed as a screening aid; cross-check any single record against the publishing agency.
Federal and state lists overlap — but not completely
Overlap is matched by NPI. The federal LEIE records an NPI on only a minority of its entries (entity records typically lack one by source convention), so the federal-only figure is a floor on the true overlap, not a ceiling — the state-only share is therefore a conservative estimate of what a federal-only NPI screen misses.
State Medicaid exclusion coverage
22,917 state Medicaid exclusion records across 13 distinct state Medicaid jurisdictions · captured September 19, 2026. Each state page mirrors the published list as a screening aid, with NPI-matched records linked to their provider profile.
| State | Exclusion records | With NPI |
|---|---|---|
| New York | 8,916 | 2,276 |
| Pennsylvania | 6,707 | 1,572 |
| Ohio | 1,980 | 732 |
| Maryland | 1,605 | 265 |
| Georgia | 1,369 | 36 |
| Iowa | 1,270 | 389 |
| Washington | 244 | 210 |
| North Dakota | 195 | 47 |
| Mississippi | 193 | 140 |
| Montana | 175 | 43 |
| North Carolina | 166 | 152 |
| New Hampshire | 76 | 51 |
| Tennessee | 21 | 9 |
Coverage expands as additional state Medicaid exclusion lists are onboarded. A state with too few records to substantiate a dataset is held back from the index until its list is fully captured.
All 50 states and DC — the coverage ledger
Every U.S. jurisdiction, with its status stated plainly: loaded (records served with a dated capture), registered (a source module exists and ingest is queued), or not yet loaded. A jurisdiction marked not yet loaded is not represented as covered — absence here says nothing about any provider in that state.
| Jurisdiction | Status | Records |
|---|---|---|
| Alabama | Not yet loaded | — |
| Alaska | Not yet loaded | — |
| Arizona | Not yet loaded | — |
| Arkansas | Not yet loaded | — |
| California | Not yet loaded | — |
| Colorado | Registered — not yet loaded | — |
| Connecticut | Not yet loaded | — |
| Delaware | Not yet loaded | — |
| District of Columbia | Not yet loaded | — |
| Florida | Not yet loaded | — |
| Georgia | Loaded · captured September 19, 2026 | 1,369 |
| Hawaii | Not yet loaded | — |
| Idaho | Not yet loaded | — |
| Illinois | Not yet loaded | — |
| Indiana | Registered — not yet loaded | — |
| Iowa | Loaded · captured September 19, 2026 | 1,270 |
| Kansas | Registered — not yet loaded | — |
| Kentucky | Registered — not yet loaded | — |
| Louisiana | Registered — not yet loaded | — |
| Maine | Not yet loaded | — |
| Maryland | Loaded · captured September 19, 2026 | 1,605 |
| Massachusetts | Registered — not yet loaded | — |
| Michigan | Registered — not yet loaded | — |
| Minnesota | Not yet loaded | — |
| Mississippi | Loaded · captured September 19, 2026 | 193 |
| Missouri | Registered — not yet loaded | — |
| Montana | Loaded · captured September 19, 2026 | 175 |
| Nebraska | Not yet loaded | — |
| Nevada | Not yet loaded | — |
| New Hampshire | Loaded · captured September 19, 2026 | 76 |
| New Jersey | Not yet loaded | — |
| New Mexico | Not yet loaded | — |
| New York | Loaded · captured September 19, 2026 | 8,916 |
| North Carolina | Loaded · captured September 19, 2026 | 166 |
| North Dakota | Loaded · captured September 19, 2026 | 195 |
| Ohio | Loaded · captured September 19, 2026 | 1,980 |
| Oklahoma | Not yet loaded | — |
| Oregon | Not yet loaded | — |
| Pennsylvania | Loaded · captured September 19, 2026 | 6,707 |
| Rhode Island | Not yet loaded | — |
| South Carolina | Registered — not yet loaded | — |
| South Dakota | Not yet loaded | — |
| Tennessee | Loaded · captured September 19, 2026 | 21 |
| Texas | Not yet loaded | — |
| Utah | Not yet loaded | — |
| Vermont | Not yet loaded | — |
| Virginia | Not yet loaded | — |
| Washington | Loaded · captured September 19, 2026 | 244 |
| West Virginia | Not yet loaded | — |
| Wisconsin | Not yet loaded | — |
| Wyoming | Not yet loaded | — |
13 of 51 jurisdictions loaded; 22 have registered source modules. States publish exclusion lists in different formats and cadences, so onboarding is per-source; the federal OIG LEIE applies in every state regardless of this table.
Common questions
- Is the federal OIG LEIE the same as a state Medicaid exclusion list?
- No. The OIG LEIE lists providers excluded from federal health programs (Medicare, Medicaid, and others). Each state Medicaid program also maintains its own exclusion list. The lists overlap but are not identical — a provider excluded by a state can be absent from the federal LEIE, and vice versa. A complete screen checks both.
- What does 'excluded anywhere' mean?
- On Fonteum, an 'excluded anywhere' check looks across the federal LEIE and 13 state Medicaid jurisdictions represented as of September 19, 2026: Georgia, Iowa, Maryland, Mississippi, Montana, North Carolina, North Dakota, New Hampshire, New York, Ohio, Pennsylvania, Tennessee, and Washington. It is not a nationwide state-list check. Because many state-excluded providers do not appear on the federal LEIE, a federal-only check can miss a state record.
- Which states does Fonteum cover today?
- Fonteum currently holds state Medicaid exclusion data for 13 state Medicaid jurisdictions represented as of September 19, 2026: Georgia, Iowa, Maryland, Mississippi, Montana, North Carolina, North Dakota, New Hampshire, New York, Ohio, Pennsylvania, Tennessee, and Washington. Other states are not represented as covered; each loaded state page is source-traced to the publishing agency, and the dated row count appears on this page.
- Is this a determination that a provider is excluded?
- No. Fonteum mirrors the published exclusion lists as a screening aid. Reinstatements and corrections can lag, and matching is by NPI where present. Always cross-check a specific record against the publishing agency before acting on it.
Scope and limitations
- Screening aid, not a determination. Fonteum mirrors the published exclusion lists; it does not adjudicate exclusions.
- Reinstatements and corrections can lag the published file. Cross-check any single record against the publishing agency before acting on it.
- Federal/state overlap is matched by NPI. Records without an NPI are counted in the totals but cannot be cross-matched.
- State coverage is limited to GA, IA, MD, MS, MT, NC, ND, NH, NY, OH, PA, TN, and WA. Absence of a state here does not imply a provider has no active match in that state.