How do I check the Pennsylvania Medicaid exclusion list?

The Pennsylvania Medicaid exclusion list is published by the Pennsylvania Department of Human Services (DHS). Screen each provider on your roster against it by NPI and name, confirm any match at the primary source, and document the check with its date. Fonteum mirrors the Pennsylvania list alongside the OIG LEIE, SAM.gov, and 16 other state lists so you can clear it in one pass with a signed attestation.

Who publishes the Pennsylvania Medicaid exclusion list?

Source: Pennsylvania Department of Human Services (DHS) Medicheck List. Fonteum mirrors that list as a source-traced screening aid and links back to the authority of record; the absence of a match means "nothing found in the list Fonteum currently holds," never a guarantee that none exists.

Is screening Pennsylvania enough on its own?

No. A provider excluded by Pennsylvania Medicaid may not appear on the federal OIG LEIE, and a provider your Pennsylvania roster shows as clean may be excluded by another state. A defensible screen covers the OIG LEIE, SAM.gov, and every applicable state Medicaid list — the "excluded-anywhere" approach — not a single jurisdiction.

How often should I re-screen Pennsylvania providers?

Monthly. The OIG recommends monthly screening against the LEIE, the penalty for employing an excluded provider accrues per item or service, and state lists update on their own schedules. Re-running the Pennsylvania screen monthly and keeping a dated record is the defensible cadence.

Can Fonteum screen a Pennsylvania roster for free?

Yes. Upload your roster and Fonteum runs a free same-day screen against the Pennsylvania Medicaid list, the OIG LEIE, SAM.gov, and every other state list it mirrors, returning a signed, hash-chained attestation PDF in which each match traces to its source file and snapshot date. Public data only; no PHI, no demo.

What does a Pennsylvania exclusion mean for payment?

An in-force exclusion means the program may not pay for items or services the excluded party furnishes, orders, or prescribes. Employing or contracting with an excluded individual can expose the organization to civil monetary penalties — up to $24,947 per item or service under Section 1128A of the Social Security Act — plus repayment. Confirm every match at the source before acting.

Exclusion screening · Pennsylvania

How to check Pennsylvania Medicaid exclusions

Screen every provider on your Pennsylvania roster against the Pennsylvania Medicaid exclusion list — published by the Pennsylvania Department of Human Services (DHS) — plus the federal OIG LEIE and SAM.gov, and document each check with its date. Here is the process, the source, and a free way to clear every list at once.

Published June 19, 2026 · Last reviewed June 19, 2026 · Fonteum Research

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The source

The Pennsylvania Medicaid exclusion list, at the source

List: Pennsylvania DHS Medicheck Precluded Providers List
Authority: Pennsylvania Department of Human Services (DHS)
Tier: Tier-1
Primary source: Pennsylvania Department of Human Services →

Source: Pennsylvania Department of Human Services (DHS) Medicheck List. Fonteum mirrors this list as a screening aid; cross-check every match at the primary source before any adverse action.

The process

How to screen a Pennsylvania provider roster

Open the Pennsylvania Medicaid exclusion listThe list is published by the Pennsylvania Department of Human Services (DHS). The primary source is at Pennsylvania Department of Human Services. Always treat that page as the authority of record.
Match every provider by NPI, then by nameCheck each provider on your Pennsylvania roster against the list by NPI where the source publishes one, and by name where it does not. Confirm any hit against the primary list before any adverse action.
Screen the federal lists tooA Pennsylvania match is necessary but not sufficient. Screen the same roster against the OIG LEIE and SAM.gov, because a federal exclusion may not appear on a state list and vice versa.
Screen every other state your providers touchA provider excluded in Pennsylvania can relocate and bill elsewhere — and one excluded in another state can show up on your Pennsylvania roster clean. For a multi-state roster, screen all 17 state Medicaid lists Fonteum mirrors, not just Pennsylvania.
Document the screen and repeat monthlyKeep a dated record of which list you checked, the snapshot date, and any match. Re-run the Pennsylvania screen on a monthly cadence, aligned to how often the source republishes.

FAQ

Pennsylvania exclusion screening — common questions

How do I check the Pennsylvania Medicaid exclusion list?: The Pennsylvania Medicaid exclusion list is published by the Pennsylvania Department of Human Services (DHS). Screen each provider on your roster against it by NPI and name, confirm any match at the primary source, and document the check with its date. Fonteum mirrors the Pennsylvania list alongside the OIG LEIE, SAM.gov, and 16 other state lists so you can clear it in one pass with a signed attestation.
Who publishes the Pennsylvania Medicaid exclusion list?: Source: Pennsylvania Department of Human Services (DHS) Medicheck List. Fonteum mirrors that list as a source-traced screening aid and links back to the authority of record; the absence of a match means “nothing found in the list Fonteum currently holds,” never a guarantee that none exists.
Is screening Pennsylvania enough on its own?: No. A provider excluded by Pennsylvania Medicaid may not appear on the federal OIG LEIE, and a provider your Pennsylvania roster shows as clean may be excluded by another state. A defensible screen covers the OIG LEIE, SAM.gov, and every applicable state Medicaid list — the “excluded-anywhere” approach — not a single jurisdiction.
How often should I re-screen Pennsylvania providers?: Monthly. The OIG recommends monthly screening against the LEIE, the penalty for employing an excluded provider accrues per item or service, and state lists update on their own schedules. Re-running the Pennsylvania screen monthly and keeping a dated record is the defensible cadence.
Can Fonteum screen a Pennsylvania roster for free?: Yes. Upload your roster and Fonteum runs a free same-day screen against the Pennsylvania Medicaid list, the OIG LEIE, SAM.gov, and every other state list it mirrors, returning a signed, hash-chained attestation PDF in which each match traces to its source file and snapshot date. Public data only; no PHI, no demo — start at pilot intake.
What does a Pennsylvania exclusion mean for payment?: An in-force exclusion means the program may not pay for items or services the excluded party furnishes, orders, or prescribes. Employing or contracting with an excluded individual can expose the organization to civil monetary penalties — up to $24,947 per item or service under Section 1128A of the Social Security Act — plus repayment (see OIG guidance). Confirm every match at the source before acting.

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Screen your Pennsylvania roster against every list — free.

Upload your provider roster and get a free same-day full-roster screen across OIG-LEIE + SAM + all 17 state Medicaid lists, plus a signed attestation PDF. No PHI, no demo. The pilot is published at $2,500–$5,000/mo with a 30-day no-penalty exit.

Get a free roster screen →or browse the state exclusion data →