Getting Started

What is LEIE?

List of Excluded Individuals and Entities (LEIE) provides 

information to the health care industry, patients, and the public 

regarding individuals and entities currently excluded from 

participation in Medicare, Medicaid, and all other federal health 

care programs. LEIE is owned and administered by the 

Department of Health and Human Services (HHS) Office of the 

Inspector General (OIG).

What is the difference between LEIE and the 

General Services Administration (GSA) System for 

Award Management (SAM)

LEIE contains only the exclusion actions taken by the HHS OIG. 

SAM is administered by GSA and contains debarment actions 

taken by various federal agencies, including exclusion actions 

taken by the HHS OIG.

What is the difference between LEIE Public and 

Restricted?

Do Not Pay (DNP) offers LEIE as two separate data sources—

Public and Restricted. The primary difference is that the 

Restricted version matches against Taxpayer Identification 

Number (TIN), whereas the Public does not. Using TINs can 

provide greater matching accuracy which aids in identifying and 

detecting improper payments.

Who could be included within an LEIE exclusion?

LEIE includes exclusions for individuals and entities including 

providers, the health care industry, medical students, as well as 

the public that have been convicted of a health care related 

offense.

How do I gain access to LEIE through DNP?

Federal agencies that are interested in viewing the LEIE data 

within the DNP Portal must contact their Agency Lead or 

Agency Specialist to request access.

What kind of information does a match in the DNP 

Portal return?

DNP offers Public and Restricted versions of LEIE. See page 2 

for available data elements returned in the DNP Portal during a 

search. Both versions of the data source appear in the 

following DNP modules:

Online Search

• Batch Matching

• Continuous Monitoring

• Application Programming Interface (API)

How frequently is LEIE updated within DNP?

Updates in DNP occur monthly.

How do I investigate an excluded match?

Contact the original source agency that excluded the entity for 

further details surrounding the exclusion. Compare it to your 

business requirements to determine eligibility. The original 

source agency that excluded the entity can be found when 

viewing the match in DNP.

Does an exclusion affect a person’s right to receive a 

federal health care benefit?

An exclusion does not affect the ability to receive a federal 

health care benefit but does affect their ability to claim a 

payment from a federal health care program for items or 

services rendered.

Can excluded individuals or entities be removed from 

the LEIE data source?

Yes, reinstatement of excluded entities and individuals is not 

automatic once the specified period of exclusion ends. Those 

wishing to again participate in any federal health care program 

must apply for reinstatement and receive authorized notice 

from HHS OIG that their reinstatement has been granted. To 

apply for reinstatement, an excluded individual or entity must 

send a written request which contains the individual's or entity's 

full name (if excluded under a different name, please also 

include that name), date of birth for an individual, telephone 

number, email address and mailing address. The request can 

be faxed or emailed to the OIG. The fax number and email 

address are:

Fax: 202- 691-2298—Email: exclusions@oig.hhs.gov

How can I report fraud or abuse related to the Medicare 

and Medicaid programs?

You may use the contact information found on the following 

link: OIG Hotline page.

Frequently Asked Questions

What authority does HHS OIG have to exclude individuals 

or entities? Are there different types of exclusions?

OIG imposes exclusions under the authority of sections 1128 and 

1156 of the Social Security Act (Act). A list of all OIG exclusions 

and their statutory authorities can be found on the Exclusion 

Authorities page

Does LEIE include exclusions from other agencies?

No, LEIE includes only exclusion actions taken by the HHS OIG.

What are the types of exclusions and what causes them to 

be applied to individuals and entities?

Mandatory Exclusions are applied to individuals and entities 

convicted of the following:

• Medicare or Medicaid fraud

• Patient abuse or neglect

• Felony convictions for other health care related offenses, 

including unlawful manufacture, distribution or prescription 

of controlled substances

Permissive Exclusions may be applied at the discretion of HHS OIG 

on a number of grounds, including

misdemeanor convictions of the Mandatory Exclusion

offenses, loss of professional licensing, poor professional 

performance, and the lack of financial integrity.

What are available exceptions to the exclusions?

HHS OIG has the authority to waive an individual or entity’s 

exclusion from participation in Federal health care programs. 

More information on waivers and a list of waivers currently in 

effect is available on the website. The provider must be the sole 

community physician or sole source of essential specialized 

services.

What should I do if I receive a positive match when 

searching LEIE?

Check the Updated Special Advisory Bulletin on the Effect of 

Exclusion from Participation in Federal Health Care Programs for 

guidance. If you have already employed the individual, check the 

Self-Disclosure Protocol.

DNP compiled the content of this Quick Reference Card to provide 

answers to frequently asked questions related to LEIE. Content was 

found through research of the data source website and the Office of 

Management and Budget Memorandum M-21-19. DNP does not own 

the content listed within this data source.

Do Not Pay Quick Reference Card
How To Fix Incorrect Data

DNP does not own the content within the LEIE Data. 

Contact HHS for further inquiries or data disputes.

HHS, OIG, OI

Attn: Exclusions Branch

P.O. Box 23871

Washington, DC 20026

Phone: 202-691-2311 Fax: 202-691-2298 

Email: exclusions@oig.hhs.gov

Search Tips

 LEIE includes only the name known to the HHS 

OIG at the time the individual was excluded, thus 

any former names used by the individual should 

be searched in addition to the current name.

 Individuals with a hyphenated name should be 

checked under each of the last names as well as 

the hyphenated name. (e.g. Jane Smith-Jones, 

Jane Smith, and Jane Jones should be checked)

 If a search result does not contain a DOB, UPIN, 

NPI, EIN, or SSN, it is not available from the HHS 

OIG. Contact the Exclusions Staff Contacts to 

determine if there is any other information

available. See Important Links section.

Data Element Description LEIE

Public

LEIE

Restricted

SSN/EIN/TIN Social Security Number / Employer Identification Number / Taxpayer 

Identification Number of individual or entity being excluded.  

Name Full name of individual or entity being excluded.  

General Basic type of medical practice or position of the individual or entity 

being excluded.  

Specialty Medical specialization of the individual or entity being excluded.  

Exclusion Program*

Batch Matching or Continuous 

Monitoring download Data Field = 

Matched List Status Code

An alpha-numeric reference to specific amendments of Sections 

1128 and 1156 of the Social Security Act; provides a reason for the 

exclusion.

 

Exclusion Description

Batch Matching or Continuous 

Monitoring download Data Field = 

Matched List Status Code Description

Short description of the exclusion program reason code listed above.  

Exclusion Date

Batch Matching or Continuous 

Monitoring download Data Field = 

Matched List Status Effective Date

Date of the individual’s or entity’s exclusion.  

Birth Date Date of birth (DOB) of the individual being excluded.  

National Provider Identifier (NPI)

The NPI replaced the Unique Physician Identification Number (UPIN) 

as the unique number used to identify health care providers other 

than by SSNs. The Centers for Medicaid & Medicare Services first 

began assigning NPIs in 2006, and providers were required to use 

NPIs as of mid-2008. Not all NPIs are available in the LEIE data 

source.

 

Waiver Date Date the individual’s or entity’s exclusion status was waived.  

Waiver State State in which the individual’s or entity’s exclusion was waived.  

Address, City, State, Zip**, Country Street address , City, State, Zip, & Country of the individual or entity 

being excluded.  

Data Elements Returned in the DNP Portal

When a match occurs, the search criteria along with the corresponding LEIE data elements will be returned through the 

search method utilized within the DNP Portal. DNP displays all of the listed data elements, per version of LEIE, for each 

functionality offered.

 * LEIE Public displays one Exclusion Program for an excluded individual or entity while 

LEIE Restricted can display multiple exclusions, when applicable.

** LEIE Public displays a 5-digit zip code whereas LEIE Restricted can display a 9-digit zip 

code.

Important Links

Agency Exclusion Contacts

http://oig.hhs.gov/contact-us/

LEIE FAQs

http://oig.hhs.gov/faqs/exclusions-faq.asp

Do Not Pay

FAQS

https://fiscal.treasury.gov/dnp/faqs.html

Data Correction Contacts

https://fiscal.treasury.gov/dnp/privacyprogram.html#data-correction-process