How to check New York Medicaid exclusions
Screen every provider on your New York roster against the New York Medicaid exclusion list — published by the NY Office of the Medicaid Inspector General (OMIG) — plus the federal OIG LEIE and SAM.gov, and document each check with its date. Here is the process, the source, and a free way to clear every list at once.
Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research
The New York Medicaid exclusion list, at the source
- List
- New York OMIG Medicaid Exclusions
- Authority
- NY Office of the Medicaid Inspector General (OMIG)
- Tier
- Tier-1
- Primary source
- NY Office of the Medicaid Inspector General →
Source: New York State Office of the Medicaid Inspector General (OMIG). Fonteum mirrors this list as a screening aid; cross-check every match at the primary source before any adverse action.
How to screen a New York provider roster
- Open the New York Medicaid exclusion listThe list is published by the NY Office of the Medicaid Inspector General (OMIG). The primary source is at NY Office of the Medicaid Inspector General. Always treat that page as the authority of record.
- Match every provider by NPI, then by nameCheck each provider on your New York roster against the list by NPI where the source publishes one, and by name where it does not. Confirm any hit against the primary list before any adverse action.
- Screen the federal lists tooA New York match is necessary but not sufficient. Screen the same roster against the OIG LEIE and SAM.gov, because a federal exclusion may not appear on a state list and vice versa.
- Screen every other state your providers touchA provider excluded in New York can relocate and bill elsewhere — and one excluded in another state can show up on your New York roster clean. For a multi-state roster, screen all 17 state Medicaid lists Fonteum mirrors, not just New York.
- Document the screen and repeat monthlyKeep a dated record of which list you checked, the snapshot date, and any match. Re-run the New York screen on a monthly cadence, aligned to how often the source republishes.
New York exclusion screening — common questions
- How do I check the New York Medicaid exclusion list?
- The New York Medicaid exclusion list is published by the NY Office of the Medicaid Inspector General (OMIG). Screen each provider on your roster against it by NPI and name, confirm any match at the primary source, and document the check with its date. Fonteum mirrors the New York list alongside the OIG LEIE, SAM.gov, and 16 other state lists so you can clear it in one pass with a signed attestation.
- Who publishes the New York Medicaid exclusion list?
- Source: New York State Office of the Medicaid Inspector General (OMIG). Fonteum mirrors that list as a source-traced screening aid and links back to the authority of record; the absence of a match means “nothing found in the list Fonteum currently holds,” never a guarantee that none exists.
- Is screening New York enough on its own?
- No. A provider excluded by New York Medicaid may not appear on the federal OIG LEIE, and a provider your New York roster shows as clean may be excluded by another state. A defensible screen covers the OIG LEIE, SAM.gov, and every applicable state Medicaid list — the “excluded-anywhere” approach — not a single jurisdiction.
- How often should I re-screen New York providers?
- Monthly. The OIG recommends monthly screening against the LEIE, the penalty for employing an excluded provider accrues per item or service, and state lists update on their own schedules. Re-running the New York screen monthly and keeping a dated record is the defensible cadence.
- Can Fonteum screen a New York roster for free?
- Yes. Upload your roster and Fonteum runs a free same-day screen against the New York Medicaid list, the OIG LEIE, SAM.gov, and every other state list it mirrors, returning a signed, hash-chained attestation PDF in which each match traces to its source file and snapshot date. Public data only; no PHI, no demo — start at pilot intake.
- What does a New York exclusion mean for payment?
- An in-force exclusion means the program may not pay for items or services the excluded party furnishes, orders, or prescribes. Employing or contracting with an excluded individual can expose the organization to civil monetary penalties — up to $24,947 per item or service under Section 1128A of the Social Security Act — plus repayment (see OIG guidance). Confirm every match at the source before acting.
Screen your New York roster against every list — free.
Upload your provider roster and get a free same-day full-roster screen across OIG-LEIE + SAM + all 17 state Medicaid lists, plus a signed attestation PDF. No PHI, no demo. The pilot is published at $2,500–$5,000/mo with a 30-day no-penalty exit.
- /screening → The full guide to OIG, SAM, and state Medicaid exclusion screening.
- /data/state-exclusions/new-york → The New York exclusion records Fonteum mirrors.
- /data/state-exclusions → Every state + federal “excluded anywhere” list.
- /tools/oig-exclusion-search → Search the OIG LEIE by name or NPI.