State Medicaid exclusion lists: which states have one, and do you need to check them?
Short answer: roughly 40-plus states publish their own Medicaid exclusion, sanction, or termination list, separate from the federal LEIE. If your organization is enrolled with a state Medicaid program — or bills it through a managed care plan — you generally must check your own state's list in addition to the federal OIG LEIE. The exact requirement (which lists, how often, for whom) is set by each state's Medicaid agency and provider agreement, so it varies. Below is a reference table of state lists, what we could verify, and how the state lists relate to the federal ones.
LEIE vs SAM.gov vs state lists: three different databases
People use "the exclusion list" as if it were one thing. It is at least three families of things, published by different agencies on different schedules:
- The LEIE (List of Excluded Individuals/Entities) is published by the HHS Office of Inspector General. It covers individuals and entities excluded from all federal health care programs — Medicare, Medicaid, TRICARE, and others — and currently carries roughly 80,000 active exclusions. OIG republishes it monthly. This is the list at the center of the monthly screening expectation.
- SAM.gov is the General Services Administration's government-wide exclusions database. It includes debarments from federal contracting and procurement generally, not just health care. LEIE exclusions flow into SAM, but SAM also contains many non-healthcare debarments. It is updated continuously.
- State Medicaid exclusion lists are published by each state's Medicaid agency, Medicaid inspector general, or program-integrity unit. They cover providers and individuals excluded, terminated for cause, or otherwise sanctioned by that state's Medicaid program. Names, formats, and update cadences vary enormously: New York's OMIG list is updated daily; many states update monthly; a few publish a PDF that changes on no fixed schedule.
The three overlap but none is a superset of the others. That gap is the whole reason state screening exists as a separate obligation.
Why someone can be on a state list but not the LEIE
Federal regulations require state Medicaid agencies to report certain terminations and sanctions to OIG, and OIG can then impose a federal exclusion based on the state action. But that pipeline is slow and lossy in practice:
- Propagation takes time. A state termination has to be reported, reviewed, and acted on by OIG before it appears on the LEIE. Months can pass between a name appearing on a state list and (maybe) appearing on the federal one.
- Some state actions never become federal exclusions. States sanction providers for reasons that do not meet OIG's mandatory or permissive exclusion criteria — state-specific program violations, licensure issues, contract breaches. Those names live only on the state list.
- State lists can include non-providers. Several states list owners, managing employees, and affiliates of sanctioned entities who never held a provider number themselves.
The reverse is also true: the LEIE contains exclusions originating in other states and in Medicare that your own state's list will never carry. Checking one is not checking the other.
Who actually needs to check state lists
The obligation follows Medicaid money. You should treat your state list as in-scope if any of these describe you:
- You are an enrolled Medicaid provider (directly or through managed care plans) — home care and in-home care agencies, behavioral health providers, clinics, pharmacies, DME suppliers, dental practices, skilled nursing facilities.
- You employ or contract with people who furnish, order, or bill for Medicaid-covered services, including back-office billing staff.
- Your state provider agreement or managed-care contract explicitly requires screening against the state list — many do, often monthly and at hire. Texas and Georgia, for example, spell out monthly checks of the state list, the LEIE, and SAM in their provider requirements.
If you bill no Medicaid at all — a cash-pay practice, or a Medicare-only supplier — the state list matters less, but the LEIE still applies to any federal program participation. When in doubt, read your provider agreement; the screening clause is usually explicit. Our guide to screening employees against the OIG exclusion list covers the mechanics.
State Medicaid exclusion lists by state
We individually verified the lists for the states marked with a link below (checked July 2026). States marked with † are reported to maintain a list by credible aggregated compliance sources, but we did not verify their current URL, so we name the agency instead of linking. A small number of states — among them New Mexico, Oklahoma, Rhode Island, South Dakota, Utah, Virginia, and Wisconsin — did not appear to publish a standalone exclusion list at the time of research and rely on the federal LEIE and their enrollment systems.
| STATE | LIST NAME / AGENCY | WHERE TO CHECK |
|---|---|---|
| Alabama† | Suspended providers list — Alabama Medicaid Agency | Alabama Medicaid Agency website |
| Alaska† | Excluded provider list — Dept. of Health, Medicaid Program Integrity | Alaska Dept. of Health website |
| Arizona† | AHCCCS exclusion list — AHCCCS Office of Inspector General | AHCCCS website |
| Arkansas† | Excluded Provider List — Arkansas Dept. of Human Services | Arkansas DHS website |
| California | Medi-Cal Suspended and Ineligible (S&I) Provider List — Dept. of Health Care Services | Medi-Cal S&I list |
| Colorado† | Terminated Provider List — Dept. of Health Care Policy & Financing | Colorado HCPF website |
| Connecticut† | Quality Assurance Administrative Actions List — Dept. of Social Services | Connecticut DSS website |
| Delaware† | Medicaid excluded providers — Dept. of Health & Social Services | Delaware DHSS website |
| District of Columbia† | Excluded Parties List — Dept. of Health Care Finance | DC DHCF website |
| Florida | Medicaid terminated and sanctioned provider lists — Agency for Health Care Administration (AHCA) | AHCA website |
| Georgia | Georgia OIG Exclusions List — Dept. of Community Health, Office of Inspector General | Georgia OIG list |
| Hawaii† | Provider Exclusion and Reinstatement List — Med-QUEST Division | Hawaii Med-QUEST website |
| Idaho† | Medicaid provider exclusions — Dept. of Health & Welfare | Idaho DHW website |
| Illinois | Provider Sanctions List — Dept. of Healthcare & Family Services, Office of Inspector General | Illinois HFS OIG sanctions |
| Indiana† | Terminated provider list (Medicaid/CHIP) — Family & Social Services Administration | Indiana FSSA website |
| Iowa† | Medicaid sanction list — Iowa HHS, Program Integrity | Iowa HHS website |
| Kansas† | Terminated/suspended provider list — KanCare Program Integrity | KanCare website |
| Kentucky† | Terminated and Excluded Provider List — Cabinet for Health & Family Services | Kentucky CHFS website |
| Louisiana† | State Adverse Actions List — Louisiana Dept. of Health | Louisiana LDH website |
| Maine† | MaineCare excluded individuals list — Dept. of Health & Human Services | Maine DHHS website |
| Maryland† | Sanctioned providers and entities list — Maryland Dept. of Health | Maryland Dept. of Health website |
| Massachusetts† | Suspended or Excluded MassHealth Providers — MassHealth | MassHealth website |
| Michigan | List of Sanctioned Providers — Dept. of Health & Human Services (MDHHS) | MDHHS sanctioned providers |
| Minnesota† | Excluded provider lists — Dept. of Human Services | Minnesota DHS website |
| Mississippi† | Provider terminations — Division of Medicaid | Mississippi Division of Medicaid website |
| Missouri† | Provider sanctions — Missouri Medicaid Audit & Compliance (MMAC) | Missouri MMAC website |
| Montana† | Excluded or terminated Medicaid providers — Dept. of Public Health & Human Services | Montana DPHHS website |
| Nebraska† | Medicaid sanctioned providers — Dept. of Health & Human Services | Nebraska DHHS website |
| Nevada† | Provider exclusions and sanctions — Div. of Health Care Financing & Policy | Nevada DHCFP website |
| New Hampshire† | Provider exclusion and sanction list — Dept. of Health & Human Services | New Hampshire DHHS website |
| New Jersey | NJ Ineligible Provider List — Office of the State Comptroller, Medicaid Fraud Division (see also the NJ Consolidated Debarment Report) | NJ ineligible provider list |
| New York | Medicaid Exclusion List (restricted and excluded providers) — Office of the Medicaid Inspector General (OMIG); updated daily | NY OMIG exclusions |
| North Carolina | Excluded Providers (termination and exclusion list) — NC Medicaid / NCDHHS; updated monthly | NC excluded providers |
| North Dakota† | Medicaid fraud/abuse provider actions — ND Health & Human Services | North Dakota HHS website |
| Ohio | Provider Exclusion and Suspension List — Ohio Dept. of Medicaid | Ohio exclusion list |
| Oregon | Sanctioned Providers list — Oregon Health Authority (published on the OHP provider enrollment page; first published in 2021) | OHA sanctioned providers |
| Pennsylvania | Medicheck (Precluded Providers) List — Dept. of Human Services; searchable, updated daily | PA Medicheck list |
| South Carolina† | Excluded Providers list — Dept. of Health & Human Services (SCDHHS) | SCDHHS website |
| Tennessee† | Terminated provider list — TennCare Program Integrity | TennCare website |
| Texas | Texas Exclusions database — Texas Health & Human Services, Office of Inspector General | Texas OIG exclusions |
| Vermont† | Provider sanction information — Dept. of Vermont Health Access | Vermont DVHA website |
| Washington | Provider Termination and Exclusion List — Washington State Health Care Authority (Apple Health) | WA HCA termination list |
| West Virginia† | Sanctioned and excluded providers — Bureau for Medical Services | West Virginia BMS website |
| Wyoming† | Medicaid exclusion information — Wyoming Dept. of Health | Wyoming Dept. of Health website |
† Reported by aggregated compliance sources; not individually verified by us. State list availability, names, and URLs change frequently — state sites get reorganized and lists move. Always confirm the current list directly with your state Medicaid agency before relying on it, and treat any third-party summary (including this one) as a starting point, not an authority.
Where ExclusionWatch fits in (and where it doesn't yet)
Honest scoping: ExclusionWatch currently screens the federal LEIE only. It automates the part of the job that is the same for every provider in every state — roster upload, automatic re-screening each month after OIG republishes the LEIE (~80,000 active exclusions), exact, fuzzy, and NPI-based matching, false-positive memory so you clear a name once, and audit-ready timestamped reports. State list screening is on our roadmap, but we would rather tell you that plainly than quietly imply coverage we do not have. You can run a free LEIE check right now to see how the federal side works.
How to check your state list manually each month
- Bookmark your state's list from the table above (or find it via your state Medicaid agency) and note its update cadence.
- Check it on a fixed monthly date — ideally right after your LEIE screen, so both checks share one date in your records.
- Search every employee, contractor, and vendor on your roster; if the list is a downloadable file, search by last name and any known aliases.
- Document each run: date, list version or "last updated" date, who you searched, and the result — even when everything comes back clean. If a name matches, verify identity carefully (middle name, NPI, license number) before acting.
Frequently asked questions
If I already check the LEIE monthly, do I still need my state's list?
If you participate in your state's Medicaid program, almost certainly yes. State actions can take months to reach the LEIE, and some never do, so a state-only exclusion is invisible to a federal-only screen. Most state provider agreements make the state list check an explicit condition of participation.
My state doesn't publish an exclusion list. Am I covered by the LEIE alone?
Mostly, but confirm with your state Medicaid agency — some states handle exclusions through their enrollment systems rather than a public list, and your provider agreement may still require attestations. At minimum, screen the LEIE monthly and keep records; that is the baseline every state builds on. See our guide to the OIG monthly screening requirement.
Do I need to check other states' lists, or just my own?
Your obligation is normally to your own state's list plus the federal databases. That said, if you operate in multiple states, hire staff who recently worked in another state, or your payer contracts require it, checking the relevant additional states is prudent — an exclusion in a neighboring state often foreshadows a federal one.
Does ExclusionWatch screen state Medicaid exclusion lists?
Not yet. ExclusionWatch automates monthly federal LEIE screening today; state list coverage is on the roadmap. Plans are $49, $99, and $149 per month for 25, 100, and 500 roster entries — details on the pricing page — with a 14-day trial and no card required.
Automate the federal half of your screening
Upload your roster once and ExclusionWatch re-screens it against the LEIE every month after OIG republishes — with fuzzy and NPI matching, false-positive memory, and audit-ready timestamped reports. Keep your state list check on the calendar; let us handle the rest.
Start 14-day free trial