Medicare exclusion list
Medicare exclusion list lookup and OIG LEIE verification
Start Medicare exclusion list review with the HHS OIG LEIE, then confirm any possible match in official OIG systems before making a payment, employment, contracting, credentialing, or enrollment decision.
Public list
OIG LEIE
OIG says the LEIE covers current exclusions from Medicare, Medicaid, and other federal health care programs.
Latest public file
05-2026 LEIE
OIG displayed a 2026-06-10 Last Update for the active-exclusions download when checked.
Review limit
Verify at source
SourceCheckHealth is a screening aid and does not provide legal clearance or final credentialing decisions.
Definition-first source note
What is the Medicare exclusion list?
As of 2026-06-15, the public Medicare exclusion list workflow starts with the HHS OIG LEIE: OIG describes the LEIE as the list of individuals and entities currently excluded from participation in Medicare, Medicaid, and all other federal health care programs, and its public downloads page showed a 2026-06-10 Last Update for the 05-2026 Updated LEIE Database.
CMS separately describes a Medicare Exclusion Database used inside Medicare operations. That CMS system receives excluded-provider information from OIG on a monthly basis and shares data with approved Medicare contractors, law-enforcement users, state Medicaid agencies, and other CMS applications. Public screening teams should still begin with the OIG LEIE search or download and document the official verification source they used.
Official search path
Use the LEIE for public Medicare exclusion review
- 1. Search strongest identifiers first. Use NPI when present, then names, business names, city, state, ZIP, and exclusion type.
- 2. Confirm possible matches in OIG. OIG notes that the downloadable file does not contain SSNs or EINs, so identity verification for specific people or entities belongs in the official online search.
- 3. Preserve source freshness. Record the LEIE file month, OIG Last Update date, and date_retrieved before acting on a screening result.
Payment context
Why Medicare checks excluded providers
CMS Medicare fraud-and-abuse training says an OIG exclusion means federal health care programs do not pay for items or services furnished, ordered, or prescribed by an excluded individual or entity. The exclusion applies regardless of who submits the claim.
That payment rule is why Medicare exclusion list review should be source-backed and repeatable. Use SourceCheckHealth to reach candidate public rows and official links, then document the OIG verification step outside the site.
Medicare exclusion list source comparison
Which source should reviewers use?
| Source | Access | Best use | Identifier note |
|---|---|---|---|
| Public OIG LEIE | Online search and downloadable CSV | Current public exclusion screening and review triage | Downloadable files omit SSNs and EINs; use official OIG online verification for identity confirmation. |
| CMS Medicare Exclusion Database | CMS-controlled internal application and files | Medicare program operations and payment-integrity workflows | CMS describes the system as receiving OIG exclusion information monthly and sharing it with approved users. |
| SourceCheckHealth imported index | Public state/detail pages and batch-screening context | Finding candidate rows, source dates, and official links before manual verification | Use as a screening aid only; confirm current status in official OIG systems before acting. |
Continue review
Open the related OIG review paths
date_retrieved: 2026-06-15. This page is public-source screening guidance only and does not provide legal advice, complete credentialing, licensure verification, Medicare enrollment status, or a final hiring or contracting decision.
FAQ
Practical notes
Is the Medicare exclusion list the same as the OIG LEIE?
For public screening, use the HHS OIG LEIE. OIG says the LEIE includes individuals and entities currently excluded from Medicare, Medicaid, and other federal health care programs. CMS also operates a Medicare Exclusion Database for approved Medicare program users.
How often is Medicare exclusion list data updated?
OIG says LEIE versions are generally updated by the middle of each month and include actions from the prior month. Check the source status and the official OIG downloads page before relying on a screening result.
Can SourceCheckHealth confirm a Medicare exclusion match?
No. SourceCheckHealth helps reviewers find imported public rows, source dates, and official links. Confirm any possible match in the official OIG online search or current LEIE download before acting.