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Texas Medicaid exclusion list

ExclusionHQ can't check the Texas HHSC OIG Exclusions List automatically yet: published through a download form; being added. Check it yourself on the state's page and keep a record.

The free check below still covers the federal lists every Texas provider needs: the OIG LEIE and SAM.gov.

Checking the Texas list yourself

Request the file through the state's download form, search it for each person's surname, and keep the file with the date you checked it.

Check before each person starts and then on the schedule your Medicaid provider agreement sets. For the federal lists, OIG says checking every month best limits the risk, because it updates its list monthly (see monthly exclusion screening).

The Texas HHSC OIG Exclusions List on the state's site

Texas on the federal lists

Of the people on the OIG exclusion list (the LEIE copy of Nov 6, 2026), 5,718 had a Texas address when they were excluded, 173 of them in the last 12 months. 53% were excluded on the mandatory grounds (convictions for program fraud, patient abuse or neglect, felony health care fraud or felony controlled-substance offences) and 41% after a health care licence was revoked, suspended or surrendered.

The most common professions among them: nurses and nurse aides (2,942), owners and operators (325) and chiropractors (150).

SAM.gov lists 5,089 excluded individuals with a Texas address, many of them the same people.

An OIG exclusion covers every federal health care program, in every state, so someone excluded elsewhere who moves to Texas is still excluded here: check every hire against the federal lists, wherever they come from.

Neighboring states

Someone who has worked across the state line can be on that state's Medicaid list without being on Texas's. If you hire from neighboring states, check their lists too:

Monthly monitoring

Monitor your Texas roster

Save your roster once. ExclusionHQ re-checks everyone against the OIG LEIE, SAM.gov whenever one updates, emails you when something changes, and keeps a dated audit report for every check. The Texas HHSC OIG Exclusions List isn't checked automatically yet. From $39 a month for up to 100 people.

Example · a dental office14 people
Day 1
SAM.gov updated14 people re-checked · 1 new to verify
Verify
Day 4
LEIE monthly file14 people re-checked · no changes
Day 9
A state list updated14 people re-checked · no changes
Day 30
Monthly receiptReport filed for the month

Questions

Does Texas keep its own Medicaid exclusion list?

Yes: the Texas HHSC OIG Exclusions List. ExclusionHQ can't check it automatically yet (published through a download form; being added), so check it by hand and keep a record.