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 July 22, 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 |
|---|
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.
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 is clear in that state.