Medicaid exclusion screening requirements in Oregon
What Oregon Medicaid requires of the organizations that take part in it: whether the state keeps its own exclusion list, how often it expects you to check, what the penalties are, and how an action taken in another state reaches you here. Every claim on this page links to the source it came from.
What Exclia screens for this state
Exclia screens Oregon Medicaid Provider Sanctions List — last refreshed Oct 11, 2026, 03:36 UTC.
Updated monthly at the source.List version in use: c4feecb0-15e0-4a2a-94a7-4531e9efabe5What the state requires
OHA does not state a screening interval on the list page.
The enrollment page cites the provider sanction rules (OAR 410-120-1400 and 410-120-1460) but does not state how often to check the list. Consult applicable provider agreements, program rules and contracts; federal results do not establish state-list coverage.
Why monthly, and where the exposure comes from
The HHS Office of Inspector General publishes the federal exclusion list (the LEIE) monthly, and its guidance to providers is that screening staff and contractors each month is what best limits the risk of overpayment and civil monetary penalty liability. State Medicaid agencies are themselves required to check the LEIE no less frequently than monthly (42 C.F.R. § 455.436(c)(2)), which is the rhythm the lists move on.
The state’s own list
Oregon Health Authority Sanctioned Providers
Oregon keeps its own Medicaid exclusion list, separate from the federal OIG list. Searching one does not cover the other.
OHA publishes a searchable table of providers who have been prohibited from serving Oregon Medicaid clients, with each provider’s NPI, the effective date and the duration. Exclia imports that table.
- Published by
- Oregon Health Authority (OHA)
- Refreshed
- Not stated by the publisher, per the publishing agency.
How Exclia reads this list
Exclia reads the Oregon Health Authority Sanctioned Providers table on the OHA provider enrollment page.
Every listed row can produce a potential match. The list publishes no reinstatement field; a provider OHA removes from the list stops matching from the next import.
Whether this source is screening today, and the exact file version in use, is shown on the coverage page.
What happens if it is not done
A listed provider has been prohibited from serving Oregon Medicaid clients, according to OHA.
- The list gives a duration for each entry; every current entry reads “Indefinite”.
- A matching name alone does not establish identity; the list publishes one unsplit name per provider, with an NPI.
The federal exposure behind the state requirement
Where a federal health care program pays for an item or service furnished, ordered, or prescribed by a person on an exclusion list, the OIG can seek repayment of what was paid, civil monetary penalties for each item or service claimed (a statutory $10,000, adjusted annually for inflation), and an assessment of up to three times the amount claimed. The standard is what the organization knew or should have known — which is why the date of your last check is the fact that matters.
How another state’s action reaches you here
Section 6501 of the Affordable Care Act (42 U.S.C. § 1396a(a)(39), implemented at 42 C.F.R. § 455.416(c)) requires a state Medicaid agency to deny or end the enrollment of any provider that was terminated for cause on or after January 1, 2011 under Medicare, or under the Medicaid or CHIP program of any other state, and that appears in the federal termination database. In practice that means an action taken against a provider in one state reaches their participation in every other — so the list that matters to you is not only your own state's.
Common questions
Yes. Exclia screens against the Oregon Health Authority Sanctioned Providers. The coverage section at the top of this page shows the edition in use and when it was last retrieved, read live from Exclia’s coverage metadata. A name on the list is shown as a potential match for your team to review, never as a determination.
No. Federal lists remain separate, and licensing boards publish their own discipline.
Check one name against the federal lists, free
One name, no account, and the result states which sources it covered and which it did not. It is a spot check rather than monitoring — it does not satisfy a monthly requirement on its own.
Run a free checkOr do it for everyone you monitor, every month
Exclia screens every person and vendor you monitor each month against the sources we cover, and keeps the dated audit trail that shows you did it.
See pricingEvery published state in one printable table, with the source for each row and a publication date you can check. Get the state-by-state requirements table
This states what each state publishes and links to where it says it. It is not legal advice, and where your own obligations are unclear your counsel is the right reader of these sources.