Illinois Exclusion Screening
Illinois Medicaid won't pay for services ordered or provided by a sanctioned provider, and Medicare won't pay for work by excluded people. Illinois employers check staff at hire and periodically after, against the federal lists and the state's own sanctions list.
Federal lists
OIG + SAM.gov
State list
HFS OIG sanctions
Updated
Monthly
Keep
Dated proof
The lists to check
| List | Run by | What it covers |
|---|---|---|
| LEIE (List of Excluded Individuals/Entities) | HHS Office of Inspector General | People and companies excluded from federal health programs |
| SAM.gov exclusions | U.S. General Services Administration | People and companies barred from federal contracts and payments |
| Provider sanctions list | Illinois HFS Office of Inspector General | Providers terminated, suspended or barred from the Illinois Medical Assistance Program |
HFS updates its sanctions list monthly. Payments tied to a sanctioned person can be recovered even when the care itself was legitimate, which is why providers check before hiring and periodically after.
If you get a possible match
- Compare more than the name: date of birth, NPI, license number and address.
- Look up the full record on the list's own website and save a copy.
- If it's confirmed, remove the person from anything billed to Medicare or Medicaid and talk to your compliance advisor.
- If it's a different person with the same name, note why and keep that with your screening record.
Common questions
Which exclusion lists should Illinois health care employers check?
The federal OIG LEIE and SAM.gov exclusions, plus the Illinois HFS Office of Inspector General provider sanctions list.
How often is the Illinois sanctions list updated?
Monthly. Most employers check staff at hire and then monthly.
Can screening be automated?
Yes. StaffScreen checks a whole staff list against the OIG and SAM.gov lists every month and emails a dated certificate for your files.
Screen your Illinois staff every month
StaffScreen, our sister service, checks your whole team against the federal OIG and SAM.gov exclusion lists every month and emails you a dated certificate for your compliance file. Illinois customers hear first when the Illinois License Directory roster opens.
Start screening