What is OIG and SAM exclusion screening?

5 min read · Updated August 2026

Short answer

Exclusion screening checks whether a person or entity is barred from participating in federal healthcare programs, primarily through the OIG LEIE and SAM.gov lists. Employing an excluded individual can trigger civil monetary penalties, so the lists must be checked at hire and monthly thereafter.

The lists that matter

  • OIG LEIE — the federal List of Excluded Individuals and Entities.
  • SAM.gov — the federal system for award management exclusions.
  • State Medicaid exclusion lists — maintained separately by most states.
  • FDA debarment and other program-specific registries.

Frequency

OIG guidance points to screening at hire and monthly thereafter, because the LEIE is updated monthly and liability attaches from the date of exclusion, not the date of discovery.

Automated monthly re-screening with an audit trail is the practical way to meet this without a spreadsheet.

Frequently asked

Who has to be screened?

Employees, contractors, vendors, and volunteers who furnish items or services payable by a federal healthcare program.

What is the penalty?

Civil monetary penalties per item or service furnished, plus repayment of amounts claimed.

Keep reading

Screening built on verified identity

Every Ethur check includes ID and biometric verification, with source-connected employment records.