Wisconsin does not maintain a separate Medicaid exclusion list. Providers must still screen the federal OIG LEIE and GSA/SAM monthly — and any other state Medicaid exclusion lists where they bill claims, employ licensed staff, or where staff may have been employed in the past.
What to screen in Wisconsin
| Separate state exclusion list | No — Wisconsin relies on the federal lists |
| Required federal screens | OIG LEIE · GSA/SAM |
| Other state lists | Screen any state where you bill Medicaid or employ licensed staff |
| Screening cadence | Monthly (CMS SMDL #08-003 and #09-001) |
Recent cases from across the country
Each settlement below started with one missed exclusion check. All were preventable. Don’t let your organization become the next example.
December 2025 · Arizona · Medical practice
$106,388 — A medical practice settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →
December 2025 · Colorado · Nursing home
$292,594 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →
December 2025 · Colorado · Nursing home
$227,525 — A senior living facility settled with OIG for employing an excluded individual. Read the OIG settlement →
December 2025 · California · Hospital
$112,390 — A hospital settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →
December 2025 · California · Hospital
$357,944 — A hospital settled with OIG for employing an excluded individual (self-disclosed). Read the OIG settlement →
The pattern is clear: Organizations of all types and sizes can be penalized for hiring excluded people or vendors. The only reliable defense is screening every employee and contractor against every exclusion list, monthly. We make that easy for you.
Wisconsin screening FAQs
Does Wisconsin maintain a separate Medicaid exclusion list?
No. Wisconsin does not publish its own state-level Medicaid exclusion list. Providers in Wisconsin rely on the federal OIG LEIE and GSA/SAM as their primary screening lists.
What exclusion lists do I need to screen for Wisconsin Medicaid compliance?
At minimum: the OIG LEIE (federal) and GSA/SAM (federal procurement). Best practice is to also screen every state Medicaid exclusion list — an exclusion in one state can trigger sanctions in others under Section 6501 of the Affordable Care Act.
How often do I need to run these screens?
Monthly, on hire and every month thereafter. CMS State Medicaid Director Letters #08-003 and #09-001 require monthly screening of every employee, contractor, and vendor that contributes to a claim — including billers, coders, and managing employees.
Federal penalties & cross-state implications
The OIG can impose civil monetary penalties of up to $24,947 per item or service that an excluded individual contributed to. Penalties stack quickly: a single excluded employee submitting claims over several months can produce six- or seven-figure exposure. Self-disclosure reduces but does not eliminate the penalty — recent settlements show organizations paying $100K-$3M+ even after voluntary reporting.
CMS requires monthly screening of employees, contractors, vendors, and any party who contributes to a claim — including billers, coders, and managing employees. Screening is required on hire and monthly thereafter (CMS State Medicaid Director Letters #08-003 and #09-001).
An exclusion in one state can trigger sanctions in others under Section 6501 of the Affordable Care Act. Providers should screen against the OIG LEIE, GSA/SAM, and every state Medicaid exclusion list — not just their home state.
