Healthcare exclusion screening checklist

A free checklist and editable worksheet for preparing a screening run, reviewing possible matches, and retaining a usable audit record.

Content review and source verification

Last reviewed: Oct 2, 2026
Last verified: Oct 2, 2026
Content owner: Exclia content team
Review cadence: Every 90 days
Next review due: Dec 31, 2026

Use this worksheet for your current workforce, contractors, and vendors. Select sources and timing for your programs, states, roles, and contracts; completing it does not certify compliance.

Start a screening run

Download the plain-text worksheet, open it in a text editor, and save a copy for each run. It includes source logs, match review records, and reviewer sign-off fields. No account or email is required. Keep completed records in your approved internal system.

Download the editable worksheet (.txt)Source guidance reviewed: October 2, 2026

Set the schedule for your organization

OIG recommends monthly LEIE screening to reduce risk; it does not set a universal statutory screening frequency for all providers. Your state, payer, or contract may impose specific duties. Record those separately in the worksheet.

Read OIG’s frequency guidance Plan your monthly screening workflow Explore state requirement guides

1. Prepare the roster

Assign a screening owner and a reviewer for unresolved results.
Reconcile the roster with current workforce and vendor records; record additions, departures, and the roster version.
Include relevant contracted and support roles, based on whether their work is paid directly or indirectly by federal healthcare programs.
Collect legal names, known former names or aliases, and available identifiers through approved internal channels.

2. Choose sources and timing

Include the OIG LEIE for OIG exclusions. Identify any additional state Medicaid, payer, or contract sources that apply and record the authority for each.
Record each source’s URL, data edition or update date, and the date searched. A failed or unavailable source is an incomplete check, not a clear result.
Set the next run date and record its basis: organizational policy, agency guidance, or a specific state or contract requirement.

3. Run and document searches

Search each selected source using its official instructions, including relevant name variations.
Save the initial search results and any follow-up searches, including searches with no results.
If using downloaded LEIE data, use a current full file or correctly apply both exclusion and reinstatement supplements; record which version was used.

4. Resolve possible matches

Treat a matching name as a possible match pending identity review; compare available identifying details.
For a possible LEIE match, use OIG’s online SSN or EIN verification. If identity remains uncertain, contact OIG for assistance and keep the case unresolved.
Record the reviewer, evidence, disposition, and review date. Escalate confirmed or unresolved cases to the designated compliance owner for decisions about affected work, payments, and reporting.
Do not infer reinstatement from an elapsed exclusion period; verify current status with the issuing authority.

5. Close the run and retain evidence

List missing roster entries, unavailable sources, and open match reviews; assign an owner and follow-up date for every gap.
Retain the roster version, source versions, search evidence, and review decisions under your organization’s retention and access policies.
Record reviewer sign-off and the next screening date. A run with open gaps should remain marked incomplete.

Official instructions and next steps

Open the official OIG LEIE search Read the healthcare exclusion screening guideThis operational worksheet is educational information. Confirm applicable requirements with the relevant agencies and your compliance or legal team. Do not enter SSNs or EINs into this website or the worksheet; use approved channels for identity verification.