Name: Unified Federal + State Medicaid Provider Exclusions
Creator: Fonteum
License: https://www.usa.gov/government-works

Question 1

Is the federal OIG LEIE the same as a state Medicaid exclusion list?

Accepted Answer

No. The OIG LEIE lists providers excluded from federal health programs (Medicare, Medicaid, and others). Each state Medicaid program also maintains its own exclusion list. The lists overlap but are not identical — a provider excluded by a state can be absent from the federal LEIE, and vice versa. A complete screen checks both.

Question 2

What does 'excluded anywhere' mean?

Accepted Answer

An 'excluded anywhere' check looks for a provider across both the federal LEIE and every available state Medicaid exclusion list, rather than the federal list alone. Because many state-excluded providers do not appear on the federal LEIE, a federal-only check can return a false clean.

Question 3

Which states does Fonteum cover today?

Accepted Answer

Fonteum currently mirrors the New York (OMIG), Ohio (ODM), and Georgia (DCH OIG) Medicaid exclusion lists — the clean, NPI-bearing, bulk-downloadable state sources. Additional states are added as their lists are onboarded; each state page is source-traced to the publishing agency.

Question 4

Is this a determination that a provider is excluded?

Accepted Answer

No. Fonteum mirrors the published exclusion lists as a screening aid. Reinstatements and corrections can lag, and matching is by NPI where present. Always cross-check a specific record against the publishing agency before acting on it.

State	Exclusion records	With NPI
New York	8,904	2,271
Pennsylvania	6,699	1,571
Ohio	1,980	732
Georgia	1,369	36

A provider clean on the federal list can still be excluded by a state.

Federal and state lists overlap — but not completely

State Medicaid exclusion coverage

Scope and limitations