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Original 2026-01-01

Modified 2026-02-28

1 <h2>Join 100,000+ employers running faster background checks with Checkr</h2>

2 <p>Not an employer? Run a background check on yourself<a>here ></a></p>

3 <h2>What is a sanctions check?</h2>

4 <p>A healthcare sanction check searches more than 1,000 United States government sources for any penalties, suspensions, or disciplinary action taken against a healthcare professional. The US Department of Health & Human Services Office of Inspector General (OIG) prohibits healthcare organizations from hiring any person or entity that has been sanctioned or appears on federal exclusion lists if they wish to participate in federally funded healthcare programs like Medicare and Medicaid.</p>

5 <h2>What is included in a healthcare sanction screening?</h2>

6 <p>Typically, a healthcare sanction screening searches the following lists:</p>

7 <ul><li>The<a>OIG Exclusion List</a>of sanctioned individuals and organizations excluded from participating in Medicare, Medicaid, and other federal health programs</li>

8 <li>The<a>System for Award Management</a>(SAM) database of contractors that are approved for, and excluded from, federal contracting opportunities</li>

9 </ul><p>Depending on the position, employer needs, and applicable laws, a healthcare sanction check may also search state-level Medicare and Medicaid exclusion lists and state medical boards sanctions.</p>

10 <h2>What is an OIG sanction check?</h2>

11 <p>An OIG sanction check is a type of healthcare sanctions background check used to search the OIG exclusion list, formally known as the List of Excluded Individuals/Entities (LEIE). The OIG sanction check searches for contractors or providers that are on the OIG exclusion list for reasons such as:</p>

12 <ul><li>Patient abuse or neglect</li>

13 <li>A conviction of Medicare or Medicaid fraud</li>

14 <li>A conviction of financial misconduct such as healthcare-related fraud or theft</li>

15 <li>A conviction of unlawfully manufacturing, distributing, dispensing, or prescribing controlled substances</li>

16 </ul><p>The OIG has discretion to exclude individuals for other reasons, including suspended or revoked licenses, misdemeanor convictions of healthcare-related fraud, and participating in unlawful kickback arrangements.</p>

17 <p>An OIG sanction check may be conducted by manually searching the online database or partnering with a third-party provider, like Checkr, for a comprehensive sanctions search.</p>

18 <h2>How often should I check the OIG exclusion list?</h2>

19 <p>In addition to checking the OIG exclusion list before hiring a job applicant, contractor, or vendor, the OIG recommends checking it at least monthly to verify individuals have not since been sanctioned. Employers can sign up to receive an email notification when the list is updated or use a consumer reporting agency (CRA), like Checkr, to more easily navigate ongoing healthcare sanctions screenings.</p>

20 <p>States are required to report healthcare sanctions and exclusions to the OIG, but there may be a lag time before the information is reported and appears on the OIG exclusion list. To ensure searches include the most accurate information, healthcare employers may wish to also search state-level sanction and exclusion lists.</p>

21 <h2>What is an OIG background check?</h2>

22 <p>An OIG background check is a type of sanction screening that searches the OIG exclusion list for mandatory or permissive exclusions that bar an individual from participation in federally funded healthcare programs. OIG background checks are often part of a more comprehensive healthcare sanctions check that may include other databases from federal and state sources.</p>

23 <p>OIG background checks are crucial for employers in the healthcare industry. Hiring individuals or organizations on the OIG exclusion list withdraws your organization’s eligibility for Medicare, Medicaid, and other federal healthcare programs and may result in substantial penalties and fines.</p>

24 <p>In addition to healthcare sanctions checks, employers must also comply with employment laws including the Fair Credit Reporting Act (FCRA) and Equal Employment Opportunity Commission (EEOC) guidance when using background screening information for hiring purposes. Given the complexity and risk involved, many companies choose to partner with an FCRA-compliant screening service, like Checkr, to conduct comprehensive and compliant healthcare sanctions background checks.</p>

25 <p>Checkr’s Fraud and Abuse Control Information Systems (FACIS) and Global Watchlist checks searches database records of adverse actions against individuals and entities in the healthcare field. These records may include disciplinary actions ranging from exclusions and debarments to letters of reprimand and probation. Our FACIS Level 1M and Global Watchlist screenings search the OIG exclusion list, SAM database, and available state Medicare and Medicaid data. You can also choose to search disciplinary action information from all the agencies in the FACIS database or select our FACIS healthcare sanctions Level 3 screenings to add more than 2,500 state sources of sanction and exclusion data.</p>

26 <p>Checkr's healthcare sanction checks meet federal requirements for health-care related screening, while our advanced platform delivers results with accuracy and speed. We enable you to make informed hiring decisions while simplifying compliance in a heavily-regulated industry.<a>Get started today.</a></p>

27 <h2>Join 100,000+ employers running faster background checks with Checkr</h2>

28 <p>Not an employer? Run a background check on yourself<a>here ></a></p>

29 <h2>Disclaimer</h2>

30 <p>The resources provided here are for educational purposes only and do not constitute legal advice. We advise you to consult your own counsel if you have legal questions related to your specific practices and compliance with applicable laws.</p>