For your practice · Behavioral health
Exclusion Screening for Behavioral Health
Counselors, therapists, peer specialists and case managers: how behavioral health practices that bill Medicaid can screen their whole staff each month.
Add dates of birth: the LEIE lists one for almost everyone, and it is what tells two people with the same name apart.
Who to check
- Licensed counselors, social workers, psychologists and therapists.
- Peer specialists, case managers and behavior technicians.
- Intake, billing and office staff.
- Contracted clinicians and telehealth providers.
Why it matters for a behavioral health practice
Behavioral health is funded heavily by Medicaid, and peer and technician roles are often unlicensed, so the exclusion lists may be the only official check you can run on some staff.
What to check and how often
Check every person against the OIG exclusion list (LEIE) and SAM.gov before they start, and again every month: OIG updates its list monthly and says monthly screening best minimizes the risk. Add your state's Medicaid list where it keeps one (state lists).
Keep a dated record of every check and of how each potential match was resolved. Plans do this for you, with a monthly PDF report.
Sources
- HHS-OIG, Exclusions Program
- HHS-OIG, Updated Special Advisory Bulletin on the Effect of Exclusion (May 2013, PDF)
- HHS-OIG, Exclusions FAQs
Last reviewed against these sources on November 7, 2026. ExclusionHQ is not affiliated with any agency, and this page is not legal advice.
Related
Monthly monitoring
Need this every month?
Save your roster once. ExclusionHQ re-checks it against the LEIE, SAM.gov and 20 state Medicaid lists whenever one updates, emails you when something changes, and keeps a dated audit report for every check. From $39 a month for up to 100 people.
Questions
Our behavior technicians don't have NPIs. Can we still check them?
Yes. Name and date of birth are enough for the LEIE, which lists a date of birth for almost everyone; add an NPI or licence number where staff have one.
Do state lists matter for us?
Yes. States terminate Medicaid providers on their own lists too; plans check your state's list wherever we can read it.