Source data
The register is built directly from the HHS OIG List of Excluded Individuals/Entities (LEIE), the canonical federal register of individuals and entities barred from participating in any federal healthcare program. The OIG publishes the full extract as a downloadable CSV refreshed monthly; Branmoor ingests and re-publishes on each site deploy.
What an exclusion means
Exclusion is the most severe administrative sanction the federal government can impose on a healthcare provider short of criminal prosecution. An excluded provider may not be reimbursed — directly or indirectly — by any federal healthcare program. Hiring, contracting with, or accepting referrals from an excluded provider exposes the receiving entity to monetary penalties under the Civil Monetary Penalties Law and, in egregious cases, to its own exclusion.
Because of this, screening against the LEIE is a baseline compliance requirement for hospitals, group practices, payers, pharmacies, durable medical equipment vendors, and every other organization that participates in federal healthcare programs. CMS and most state Medicaid programs require monthly screening.
Statutory grounds
Each exclusion is published with the statutory section that authorized it (a subsection of 42 U.S.C. § 1320a-7, referred to as "Section 1128"). The most common grounds:
- §1128(a)(1) — Conviction of program-related crimes (mandatory)
- §1128(a)(2) — Conviction relating to patient abuse or neglect (mandatory)
- §1128(a)(3) — Felony conviction relating to health care fraud (mandatory)
- §1128(a)(4) — Felony conviction relating to controlled substances (mandatory)
- §1128(b)(4) — License revocation, suspension, or surrender (permissive)
- §1128(b)(7) — Fraud, kickbacks, and other prohibited activities (permissive)
- §1128(b)(8) — Entities controlled by a sanctioned individual (permissive)
Mandatory exclusions carry a minimum 5-year period; permissive exclusions are discretionary and may carry shorter or longer periods. Reinstatement requires a formal application to the OIG and is not automatic at the end of the exclusion period.
What's published here
The index page displays the most recent exclusions sorted by exclusion date. The full 83256-record dataset is available via the CSV exports, including reinstated providers (with the reinstatement date in the record).
The free public register is the OIG's data, restated in a more navigable format. For high-volume screening — the canonical compliance use case — the OIG also publishes a Search interface and exposes the data via direct CSV download on the same monthly cadence; Branmoor does not yet offer subscription-API access to the data feed but plans to.
What's not here yet
- OIG Corporate Integrity Agreements (CIAs) — OIG publishes active CIAs as a separate dataset. Planned addition
- DOJ healthcare-fraud press releases — the parallel feed of DOJ enforcement actions. The justice.gov press-release server blocks scripted requests; will need either a partner channel or a different ingest path
- State Medicaid exclusion lists — each state Medicaid program maintains its own exclusion list in addition to the federal LEIE. 51 jurisdictions to cover; planned per-state expansion
- CMS Provider Enrollment revocations — separate from LEIE; revocations of Medicare billing privileges. Public via CMS but on a separate publication cadence
- HHS OCR breach notifications — HIPAA breach reports affecting 500+ individuals. Currently gated behind the OCR portal's JSF interface
Limits
The LEIE is the federal authoritative source as of the most recent OIG monthly update. Some states maintain additional state-level exclusion lists not reflected here. Compliance screening should use both the federal LEIE and applicable state Medicaid exclusion lists.
An excluded provider's NPI may continue to appear as active in NPPES; NPI deactivation is a separate process from federal exclusion. Branmoor surfaces the NPI on each LEIE record so cross-reference with the Physician Movement Tracker is direct.