How do I check the North Carolina Medicaid exclusion list?

The North Carolina Medicaid exclusion list is published by the NC DHHS, Division of Health Benefits (NC Medicaid). 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 North Carolina 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 North Carolina Medicaid exclusion list?

Source: North Carolina Department of Health and Human Services, NC Medicaid. 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 North Carolina enough on its own?

No. A provider excluded by North Carolina Medicaid may not appear on the federal OIG LEIE, and a provider your North Carolina 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 North Carolina 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 North Carolina screen monthly and keeping a dated record is the defensible cadence.

Can Fonteum screen a North Carolina roster for free?

Yes. Upload your roster and Fonteum runs a free same-day screen against the North Carolina 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 North Carolina 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 · North Carolina

How to check North Carolina Medicaid exclusions

Screen every provider on your North Carolina roster against the North Carolina Medicaid exclusion list — published by the NC DHHS, Division of Health Benefits (NC Medicaid) — 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 North Carolina Medicaid exclusion list, at the source

List: North Carolina Medicaid State Excluded Provider List
Authority: NC DHHS, Division of Health Benefits (NC Medicaid)
Tier: Tier-1
Primary source: North Carolina Department of Health and Human Services →

Source: North Carolina Department of Health and Human Services, NC Medicaid. 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 North Carolina provider roster

Open the North Carolina Medicaid exclusion listThe list is published by the NC DHHS, Division of Health Benefits (NC Medicaid). The primary source is at North Carolina Department of Health and Human Services. Always treat that page as the authority of record.
Match every provider by NPI, then by nameCheck each provider on your North Carolina 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 North Carolina 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 North Carolina can relocate and bill elsewhere — and one excluded in another state can show up on your North Carolina roster clean. For a multi-state roster, screen all 17 state Medicaid lists Fonteum mirrors, not just North Carolina.
Document the screen and repeat monthlyKeep a dated record of which list you checked, the snapshot date, and any match. Re-run the North Carolina screen on a monthly cadence, aligned to how often the source republishes.

FAQ

North Carolina exclusion screening — common questions

How do I check the North Carolina Medicaid exclusion list?: The North Carolina Medicaid exclusion list is published by the NC DHHS, Division of Health Benefits (NC Medicaid). 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 North Carolina 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 North Carolina Medicaid exclusion list?: Source: North Carolina Department of Health and Human Services, NC Medicaid. 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 North Carolina enough on its own?: No. A provider excluded by North Carolina Medicaid may not appear on the federal OIG LEIE, and a provider your North Carolina 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 North Carolina 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 North Carolina screen monthly and keeping a dated record is the defensible cadence.
Can Fonteum screen a North Carolina roster for free?: Yes. Upload your roster and Fonteum runs a free same-day screen against the North Carolina 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 North Carolina 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.

Request access

Screen your North Carolina 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 →