Texas Medicaid treats provider screening as effectively continuous — a fresh check every month, not once a year at credentialing. LapseGuard verifies every clinician on your roster against the OIG exclusion list, state licensure, and the federal NPI registry — plus a guided BACB certification check — then re-checks it monthly and hands you one audit-ready report.
No login to try it. Your first full-roster snapshot is free — Texas or any state you bill in.
Texas Medicaid expects providers to be screened against the exclusion lists every month — and the federal penalty attaches on a strict-liability basis. No intent required, no bad actor required.
Not in Texas? The federal penalty schedule and the OIG list are the same everywhere — and New York and California run comparable monthly-screening expectations. We screen rosters in 46 states.
You send us your team page or roster. We do the verification by hand and by data — and keep doing it every month.
Your public team page or a simple list — every BCBA, BCaBA, and RBT. No account setup, no software to install.
Each clinician is checked against the NPI registry, OIG & state exclusion lists, BACB certification, and state license — with every name-match disambiguated by hand.
One clean report with a per-row source citation. On monitoring, we re-run it monthly and alert you the moment anything lapses, moves, or appears on a list.
Most tools check exclusions or licenses. For ABA, the certification layer is the one nobody else covers.
Every clinician screened against the federal LEIE and your state's own Medicaid exclusion list — clearing one doesn't clear the other — with potential name-matches ruled in or out by hand, not flagged blindly.
A lapsed BCBA / BCaBA / RBT cert makes a clinician unbillable overnight. We give you a one-step checklist to confirm each clinician on the BACB's own public certificant registry, and we structure and date the result in your report — we never bulk-scrape or resell BACB data.
In Texas, behavior analysts are licensed through TDLR — an LBA that lapses is a billing problem the same day. We check license number, status, and renewal date against your state's board, wherever behavior-analyst licensure applies.
Each NPI confirmed active, correctly typed as a behavior analyst, and matched to your practice location — a common cause of quiet claim denials.
Nobody publishes this, so we built it ourselves: every named clinician on 172 public ABA clinic team pages, run against NPPES and the OIG exclusion list — the same check we'd run on your roster.
Every one of these is a name where what the clinic publishes and what NPPES holds don't line up. None of them means anyone did anything wrong.
Nineteen clinicians drew 58 possible exclusion-list name matches between them. We ruled out all 58 by hand, against identifiers — every one was a different person who shared a surname. Not one clinician in this dataset is excluded from federal healthcare programs.
We're stating that plainly because it's the honest read: this is a paperwork problem, not a fraud problem. We'd rather tell you the number is zero than sell you a scare.
And 22 more were a category mismatch — listed as a BCBA on the team page, but the NPI taxonomy says psychologist, speech-language pathologist, or marriage & family therapist. Often that's just an older NPI nobody ever updated after certifying.
Which is the whole point. People move states. Names change at marriage. Someone registers an NPI in grad school in Ohio, takes a job in Dallas, and never touches the record again — because nothing forces them to. NPPES has no expiry, no nag email, no consequence for staleness. So it goes stale, quietly, on perfectly good clinicians.
The problem is that an auditor pulling your roster doesn't see "stale." An auditor sees a mismatch — and mismatches are what get claims held while somebody proves a negative.
Don't take our word for any of this. Pull up your own team page, pick three names, and look them up in NPPES — it's free and it takes ten minutes. Most of you will be fine. About a third of you won't like what you see.
Dataset compiled by LapseGuard from public sources, as of 16 July 2026; it grows as we check more practices. Counts are aggregate only — we don't name individuals, and this is not a finding about any clinic or clinician. 148 clean + 69 flagged + 22 category-mismatch = 239; the remaining 2 were names we couldn't parse cleanly enough to check either way. Read the full write-up, including all 58 false exclusion matches → For the external, sourced 2026 compliance figures, see the numbers page.
A real, anonymized full-roster report — the same format we'd build for your practice, with a source citation on every line.
No contract, no portal login, cancel monitoring any time. Secure card payment by Stripe.
If billing compliance at your practice runs through an owner, clinical director, or office manager, forward this along. The free full-roster snapshot is the fastest way for them to see exactly where the practice stands — no login, no card.
No. LapseGuard is an independent verification service. We read public records those bodies publish; we are not affiliated with, endorsed by, or acting on behalf of the BACB, OIG, CMS, or any state licensing board.
Neither. Our reports are for regulatory-compliance verification only — not for making employment decisions about any individual, and not a substitute for legal advice. We don't make or recommend adverse actions. Any potential exclusion match is flagged as potential and must be confirmed against identifiers before you act on it.
You confirm each clinician on the BACB's own public certificant registry — the official, first-party source — using a one-step checklist we provide, and we structure and date it in the report. We never bulk-scrape or resell BACB data, so the certification layer stays fully inside the BACB's terms.
Just your public team page or a simple roster list. We do the rest. The first full-roster snapshot is free so you can see the quality before paying.
Screening is effectively mandatory rather than a single federal rule you can point at. The penalty for billing an item tied to an excluded provider is strict liability — it applies whether or not you knew — and Texas, New York, and California Medicaid each set their own monthly screening expectations on top of that. Practically, that combination means a practice that screens once a year is carrying risk it can't see.
Yes. The OIG exclusion list, the NPI registry, and the federal penalty schedule are national — only the state-license layer changes. We currently screen rosters across 46 states. Texas is simply where most of our recent work sits.
Any time, from the receipt Stripe sends — no portal, no contract, no cancellation call.
Four quick fields and we'll run your whole roster: OIG exclusions, state license, NPI, plus the guided BACB check. Your first full-roster snapshot lands in about two business days — no login, no card.
We'll email your full-roster compliance snapshot to the address you gave, usually within two business days. Questions? Just reply to that email or write ram@getlapseguard.com.