OIG LEIE exclusions list update—Check them monthly!
By Toby Pearson | March 14, 2025 | All providers
To avoid liability, healthcare entities need to routinely check the List of Excluded Individuals/Entities (LEIE) to ensure that new hires and current employees are not on the excluded list. The Office of Inspector General (OIG) updates their
LEIE database file every month. LEIE is a comprehensive list of individuals and entities prohibited from participating in either Medicare or Medicaid (including waiver) programs.
Once each month providers should download the CSV file into your computer’s spreadsheet or database program. This will enable you to use that program’s search functions to crosscheck your staff names against the thousands of names on the LEIE. Document the results of the crosscheck verifying that you are not employing anyone on the LEIE list.
Prior to hiring a new staff member, it is recommended that you verify your potential new hire against the LEIE database. This can be conducted
here. If the applicant’s name does not appear in the search results, print the webpage for your documentation (if it does appear, don’t hire!).
In addition to the federal exclusion list, Minnesota Health Care Programs (MHCP) maintains and publishes two lists of all people suspended or terminated from receiving payment from Medicaid funds who MHCP has excluded—one for excluded group providers and one for excluded individual providers. Besides checking the LEIE, a new law, which went into effect on August 1, 2019, requires providers who accept Medical Assistance (MA) payments or elderly waiver (EW) payments to document, on a monthly basis, that the provider has checked both the excluded individual list and the excluded groups list publicized on the Minnesota Health Care Providers (MHCP)
website. Documentation must include the date and time the exclusion list was checked and the name and title of person who checked the exclusion list.
Checking the MHCP exclusion lists should not take long. Examples of the type of groups that you might find excluded include the following:
- Medical transportation companies
- Home health agencies
- Medical supply companies
- PCA providers groups
- Pharmacies
- Physician groups
- Private duty nurse groups
Examples of the types of individuals you might find on the MHCP excluded individual list include the following:
- PCAs
- Dentists
- Physicians
- Physical therapists
- Social workers
Payments to any persons or group on the excluded lists should be terminated immediately, and the relationship must be severed.
Providers must verify that all people they employ are not on an exclusion list before hire and on an ongoing basis (suggested at least monthly). Anyone who is on the list is excluded from employment with an entity who receives reimbursement from MHCP.
Toby Pearson | President/CEO |
tpearson@careproviders.org | 952-851-2487