For your practice · Home health
Exclusion Screening for Home Health Agencies
Aides, nurses, therapists and office staff turn over fast in home health. How agencies can screen every hire and re-check the whole roster each month against the OIG, SAM and state lists.
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
- Home health aides, personal care aides and certified nursing assistants.
- Registered and licensed practical nurses, and therapists (PT, OT, speech).
- Schedulers, intake, billing and office staff.
- Contracted therapists and staffing-agency workers.
Why it matters for a home health agency
Home health has high staff turnover, and its roles dominate the OIG list: nurses and nurse aides are 43% of the individuals on it (34,776 of 80,627 in the LEIE file OIG posted on October 9, 2026), with personal care providers and health care aides also in the top four. A check at hire and a monthly re-check of everyone both matter.
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 aides come from a staffing agency. Do we check them?
OIG's guidance covers contractors too. Ask the agency for its screening records, and check the people who work in your patients' homes yourself; it takes seconds with a saved roster.
What if an aide's name matches but we're not sure it's them?
That's a potential match to verify: compare the listed date of birth and city, and confirm with OIG's own search, which can check a Social Security number. Record what you found.