Ethico

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 SSDM monitors all 50 states automatically—no more manual state-by-state checking.

The Shield

Federal screening leaves gaps. SSDM 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. SSDM catches what federal screening misses.

SSDM Covers:

All 50 state Medicaid exclusion lists
Nurse aide abuse registries
State licensing board disciplinary actions
State-specific controlled substance databases
Child and elder abuse registries
The Engine

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.

SSDM Automation

  • Continuous monitoring across all jurisdictions
  • Automated database updates
  • Single search, all states covered
  • No manual website navigation
Hoursof manual work eliminated per screening cycle
Patient Protection

Protect patients and vulnerable populations

An individual can be prohibited from patient care based on state registry status without federal exclusion. SSDM catches what federal screening misses.

Registry Coverage:

Nurse aide registries (all states)
Caregiver abuse registries
Child abuse and neglect registries
Elder abuse registries
Domestic violence registries (where available)
Licensing Actions

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 AreaDetails
State MedicaidAll 50 state exclusion lists
Abuse RegistriesNurse aide, caregiver, child, elder
Licensing BoardsActions across all states
Controlled SubstanceState-specific databases
Automated UpdatesContinuous database monitoring
Single SearchAll states in one query
Audit TrailDocumentation for regulators
Integration

Complete exclusion coverage

Combined Approach:

OIG LEIE (federal)
SAM (federal)
SSDM (all states)
= Complete exclusion screening

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

StepWhat HappensOutput
Name InputUpload roster via portal or APIScreening initiated
Multi-State SearchSimultaneous search across all 50 statesState hits identified
List AggregationMedicaid exclusions, abuse registries, licensing actions compiledMatch results compiled
Precision MatchingMulti-identifier verification reduces false positivesConfirmed matches flagged
Federal CombinationResults combined with OIG/SAM screeningComplete exclusion picture
Alert RoutingMatches routed to designated reviewersReview 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. SSDM closed gaps we didn't know we had."
Christine N.Compliance Director, Home Health Agency (Operating in 12 states)Three state exclusions identified that federal screening missed

Implementation Timeline

Multi-state screening operational in 2-4 weeks

PhaseTimelineWhat Happens
DiscoveryWeek 1State coverage requirements, operating footprint
ConfigurationWeek 1State lists enabled, match parameters, alert routing
Data UploadWeek 1-2Roster import, initial multi-state screening
ValidationWeek 2Results verification, coverage confirmation
Go-LiveWeek 2-4Ongoing monitoring across all states activated

What Happens Next

1

See Multi-State Coverage

Demo showing how single-search monitors all 50 states simultaneously.

30 Minutes
2

Map Your Operating Footprint

Identify states of operation, license locations, and specific coverage requirements.

3

Combine with Federal Screening

Integrate SSDM with OIG/SAM screening for complete exclusion coverage.

4

Go Live

Ongoing multi-state monitoring activated alongside federal screening.

2-4 Weeks

Frequently 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.