State-level screening that closes federal screening gaps
Federal OIG and SAM screening isn't enough. State Medicaid exclusions, abuse registries, and licensing board actions create compliance exposure that federal lists don't cover. Ethico's state exclusion screening monitors all 50 states automatically—no more manual state-by-state checking.
Federal screening leaves gaps. State exclusion screening closes them.
The Problem
A provider can be excluded from California's Medicaid program without appearing on federal OIG LEIE. An aide on a state abuse registry won't show on SAM. Federal-only screening misses state-level exclusions.
The Result
Complete exclusion screening, not partial coverage. State exclusion screening catches what federal screening misses.
State Exclusion Screening Covers:
No more manual state board checking
The Problem
Staff spend hours clicking through 50+ state websites. It's impossible to scale.
Each state has different exclusion lists, website portals, update schedules, and search requirements.
State Screening Automation
- Continuous monitoring across all jurisdictions
- Automated database updates
- Single search, all states covered
- No manual website navigation
Protect patients and vulnerable populations
An individual can be prohibited from patient care based on state registry status without federal exclusion. State exclusion screening catches what federal screening misses.
Registry Coverage:
Know when credentials are in jeopardy
Tracked Actions:
- License suspensions
- License revocations
- Probationary status
- Disciplinary actions
- Practice restrictions
Multi-State Visibility
Provider licensed in 5 states? One search covers all jurisdictions. No need to check each state board separately.
What's Included
| Coverage Area | Details |
|---|---|
| State Medicaid | All 50 state exclusion lists |
| Abuse Registries | Nurse aide, caregiver, child, elder |
| Licensing Boards | Actions across all states |
| Controlled Substance | State-specific databases |
| Automated Updates | Continuous database monitoring |
| Single Search | All states in one query |
| Audit Trail | Documentation for regulators |
Complete exclusion coverage
Combined Approach:
One Platform
Run federal and state screening together through EcoCheck. Unified results, unified reporting. No separate systems to manage.
How Multi-State Monitoring Works
One search, all 50 states covered
| Step | What Happens | Output |
|---|---|---|
| Name Input | Upload roster via portal or API | Screening initiated |
| Multi-State Search | Simultaneous search across all 50 states | State hits identified |
| List Aggregation | Medicaid exclusions, abuse registries, licensing actions compiled | Match results compiled |
| Precision Matching | Multi-identifier verification reduces false positives | Confirmed matches flagged |
| Federal Combination | Results combined with OIG/SAM screening | Complete exclusion picture |
| Alert Routing | Matches routed to designated reviewers | Review queue populated |
"We discovered three state exclusions that never appeared on federal lists—providers who would have been in our facilities if we relied on OIG-only screening. State exclusion screening closed gaps we didn't know we had."
Implementation Timeline
Multi-state screening brought online through a phased rollout
| Phase | What Happens |
|---|---|
| Discovery | State coverage requirements, operating footprint |
| Configuration | State lists enabled, match parameters, alert routing |
| Data Upload | Roster import, initial multi-state screening |
| Validation | Results verification, coverage confirmation |
| Go-Live | Ongoing monitoring across all states activated |
What Happens Next
See Multi-State Coverage
Demo showing how single-search monitors all 50 states simultaneously.
30 MinutesMap Your Operating Footprint
Identify states of operation, license locations, and specific coverage requirements.
Combine with Federal Screening
Integrate state exclusion screening with OIG/SAM screening for complete exclusion coverage.
Go Live
Ongoing multi-state monitoring activated alongside federal screening.
2-4 WeeksFrequently asked questions
Close your federal screening gaps
See how multi-state monitoring catches exclusions that federal OIG and SAM screening miss.
Coverage map showing all 50 states included.