New York exclusion list

Medicaid Exclusion List

New York OMIG publishes its complete Medicaid Exclusion List as a tab-delimited download — over 9,000 entries — plus a separate list of the last 30 days’ additions.

At a glance

Published by
New York State Office of the Medicaid Inspector General (OMIG)
Format
Tab-delimited file (complete list) and online search
Updates
Not stated by the publisher; OMIG recommends checking at least every 30 days
Covers
Medicaid exclusions
Open the official list

What is on the list

  • Use the complete tab-delimited download, not the “last 30 days” additions file, which is only the newest entries.
  • About 9,117 rows with provider name, license number, NPI, provider type and exclusion effective date.
  • The provider name is a single field and does not say whether it is a person or an organization, so search the full name either way.
  • Some names include nicknames in quotation marks, and a few exact duplicate rows exist in the source.

How to check a name against it

  1. Download the complete list from the OMIG Medicaid exclusions page, or use OMIG’s online search.
  2. Search the name field for the person or organization, then compare license number and NPI.
  3. Treat a name match as a potential match until the identity is confirmed with the publisher, using identifiers such as NPI, license number, date of birth or address.

Check the federal lists too

A state list covers that state’s program. The federal LEIE and SAM.gov lists apply everywhere, so a complete check includes them.

Check names against every list at once

Exclia checks your employees, contractors and vendors against federal and state lists, keeps a dated record of every check, and flags potential matches for your review.