How to screen for OIG, SAM & state exclusions
The statute-anchored guide: OIG's monthly recommendation, the lists, the cost of a miss, and an on-demand 25-NPI screen.
Open →The short answer
What is exclusion and sanctions screening?
Exclusion screening is checking a person or organization against the government lists of parties barred from federal programs — and keeping a dated record of the check. In healthcare, that means the OIG LEIE, SAM.gov, and each state's Medicaid exclusion list; in federal contracting, it means SAM.gov debarment and suspension. A party barred in one place can stay active in another — which is exactly the gap a single-list check misses.
Fonteum screens OIG LEIE, SAM.gov, and the currently loaded state Medicaid lists for GA, IA, MD, MS, MT, NC, ND, NH, NY, OH, PA, TN, and WA, returning an excluded-anywhere signal, and displays the source file and best available source-date field for supported matches — the record an audit asks for. This hub is where the healthcare and federal-contracting sides meet. Fonteum does not claim coverage of the other states. For source boundaries, read the definitions of OFAC, a sanctions list, and list-based sanctions.
Screen & search
Start a screen, or check a single party. The free workflow checks the first 25 NPIs against OIG LEIE, SAM.gov, and the supported state Medicaid lists currently loaded by Fonteum.
Exclusion & sanctions screening
The dual-buyer page: an API for developers and the deployed self-serve screening workflow for compliance teams.
Open →Search the OIG LEIE by name or NPI
Check one provider against the federal healthcare exclusion list in a single query.
Open →The /sanctions exclusion data hub
The public OIG LEIE aggregate surface — free to browse and cite.
Open →The exclusion datasets
OIG LEIE — federal healthcare exclusions
Loaded OIG LEIE rows for parties excluded from federal healthcare programs under SSA §1128, with available provenance fields.
Open →State Medicaid exclusion lists
The supported state lists currently loaded in one excluded-anywhere screen; the other states are not covered.
Open →What is the OIG LEIE?
The List of Excluded Individuals and Entities, defined.
Open →Healthcare program exclusion, defined
What an exclusion is and what it bars a provider from.
Open →The civil money penalty
Penalties, assessments, and repayment that can apply when federal programs are billed for items or services furnished by an excluded party.
Open →Research on exclusions
Original studies on who is barred, who stays active, and where the lists disagree — the citable evidence behind the screen.
Barred but still active in the directory
How many excluded providers still appear as active in the national provider registry.
Open →Excluded providers still enrolled in Medicare
Where an OIG exclusion and an active PECOS enrollment overlap.
Open →The federal–state exclusion gap
Parties on a state list that never appear on the federal LEIE.
Open →OIG exclusion patterns
What the LEIE shows about exclusion type, basis, and trend over time.
Open →The excluded-providers landscape
A full read of the federal healthcare exclusion population.
Open →Industry payments to excluded providers
Open Payments dollars flowing to parties already on the exclusion list.
Open →Federal contracting — the cross-vertical bridge
The same screening problem on the procurement side: who is debarred, and who got paid anyway. These /gov surfaces are the federal-contracting half of this hub.
Federal contracting on Fonteum
The procurement vertical — SAM.gov exclusions and entity records with source and observation metadata where available.
Open →Federal-contracting questions, answered
An answer-engine hub for debarment, suspension, and exclusion in procurement.
Open →The federal suspension & debarment scorecard
Which agencies drive the active SAM exclusion population, by share.
Open →Contracts awarded during an active exclusion
Procurement leakage: awards that landed while the party was barred.
Open →What is an exclusion in federal contracting?
The procurement definition, and how it differs from a healthcare exclusion.
Open →Suspension vs. debarment
The two federal-contracting bars and what each one means.
Open →Make it defensible
Common questions
Answers in one line each
- What lists should a healthcare exclusion screen cover?
- A complete healthcare screen covers two federal lists — the OIG LEIE and SAM.gov — plus every applicable state Medicaid exclusion list. A party barred by one state can stay off the federal LEIE, so a multi-state roster has to clear each jurisdiction, not just the federal pair.
- How is exclusion screening different in federal contracting?
- Federal contracting screens against SAM.gov suspension and debarment rather than the healthcare LEIE, and the bar is procurement-wide. The mechanic is similar — check the party against the government's list and keep a dated, source-cited record. Cross-vertical questions route through this hub.
- How often does OIG recommend exclusion screening?
- OIG says providers are not generally required by statute or regulation to check the LEIE, but recommends checking before employing or contracting and periodically afterward. Because OIG updates the LEIE monthly, it says monthly screening best minimizes potential liability. Applicable state, contract, and program rules can impose their own cadence.
- What does an excluded-anywhere screen mean?
- On Fonteum today, it means one check resolves a party against the federal LEIE, SAM.gov, and supported loaded state Medicaid lists, and flags a hit on any of those sources. It is not a claim of nationwide state-list coverage. A separate integrity layer reports OIG Corporate Integrity Agreements and CMS civil-money-penalty records when an NPI-linked record is available. Matches expose the source and observation fields available on the response.
Go deeper
The other pillar guides
START HERE
Screen the first 25 NPIs against the currently loaded lists — free.
Screen the first 25 unique ten-digit NPI inputs on demand across OIG LEIE, SAM.gov, and the supported state Medicaid lists currently loaded by Fonteum. The free result stays on screen; no artifact, email, or monitoring is created.