California Exclusion Screening
California employers that bill Medicare or Medi-Cal can't be paid for services furnished by excluded or suspended people. Most screen every employee and contractor at hire and then every month, against two federal lists and California's own Medi-Cal list.
Federal lists
OIG + SAM.gov
State list
Medi-Cal S&I
Typical frequency
Monthly
Keep
Dated proof
The lists to check
| List | Run by | What it covers |
|---|---|---|
| LEIE (List of Excluded Individuals/Entities) | HHS Office of Inspector General | People and companies excluded from Medicare, Medicaid and other federal health programs |
| SAM.gov exclusions | U.S. General Services Administration | People and companies barred from federal contracts and payments |
| Medi-Cal Suspended and Ineligible Provider List | California DHCS | Providers suspended from Medi-Cal or otherwise ineligible to take part |
DHCS updates the Suspended and Ineligible list monthly. Many California counties and health plans require their contractors to check it at hire and every month, and to keep the records for years.
If you get a possible match
- Compare more than the name: date of birth, NPI, license number and address.
- Look up the full record on the list's own website and save a copy.
- If it's confirmed, remove the person from anything billed to Medicare or Medi-Cal and talk to your compliance advisor about next steps.
- If it's a different person with the same name, note why and keep that with your screening record.
Common questions
Which exclusion lists should California health care employers check?
The federal OIG LEIE and SAM.gov exclusions, plus the Medi-Cal Suspended and Ineligible Provider List run by DHCS.
How often should staff be screened in California?
At hire and then monthly. The OIG and DHCS both update their lists every month.
Can screening be automated?
Yes. StaffScreen checks a whole staff list against the OIG and SAM.gov lists every month and emails a dated certificate for your files.
Screen your California staff every month
StaffScreen, our sister service, checks your whole team against the federal OIG and SAM.gov exclusion lists every month and emails you a dated certificate for your compliance file. California customers hear first when the California License Directory roster opens.
Start screening