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Federal and State Exclusion Databases

There is no single national exclusion list. A compliant screening program checks the OIG’s List of Excluded Individuals and Entities (LEIE), the GSA System for Award Management (SAM), the CMS Preclusion List, and a state Medicaid exclusion list for every state where the organization is licensed, operates, or bills — plus sanctions from OFAC, the FDA Debarment List, the DEA, and applicable state professional licensing boards. Exclusion Screening maintains coverage across 42+ databases; this hub is where the full reference lives.

What this guide will cover

  • LEIE (OIG) — the foundational federal exclusion list, update cadence, data quality
  • SAM.gov (GSA) — system for award management exclusions and federal debarment
  • CMS Preclusion List — Medicare Advantage and Part D prescriber restrictions
  • State Medicaid exclusion lists — 38 states maintain a separate list; 13 rely on LEIE
  • OFAC sanctions — Specially Designated Nationals screening for healthcare
  • FDA Debarment List — clinical trial and drug-approval debarment
  • DEA Excluded Persons List — controlled substance registration
  • State professional licensing sanctions — 50-state board action data
  • Tribal and territory exclusion lists — IHS, Puerto Rico, USVI
  • How each database handles matching: name, SSN, license, DOB
  • Primary Source Verification expectations under The Joint Commission and CMS audits

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  • OIG, SAM & state exclusion lists
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