US Medicaid Exclusions - Going State by State

Each of these state-level sources adds a puzzle piece for those interested in healthcare compliance and due diligence. With the addition of these Medicaid exclusion files, our data will help highlight a lesser-known yet equally significant set of restrictions that play a crucial role in maintaining integrity within public healthcare.

As with all our datasets, these new inclusions are made available in open formats and are regularly updated, which you can view below here. By providing transparency into who is barred from providing Medicaid services, we hope to assist compliance officers and analysts in making informed and responsible decisions.

State Name	Dataset Name	Publisher	Entities	Added?
Alabama	Medicaid Suspended Providers	Alabama Medicaid	2,141	Yes
Alaska	Medical Assistance Excluded Provider List	AK-DOH	288	Yes
Arizona	Medicaid Suspensions and Terminations	AHCCCS	345	Yes
Arkansas	Medicaid Excluded Provider List	DHS	2,559	Yes
California	Medicaid Suspended and Ineligible Providers	DHCS	22,466	Yes
Colorado	Medicaid Terminated Provider List	HCPF	309	Yes
Connecticut				Unable to extract
Delaware				No data available
Florida				Unable to access
Georgia	Healthcare Provider Exclusions	DCH	1,296	Yes
Hawaii	Medicaid Exclusions and Reinstatements	DHS	210	Yes
Idaho				Unable to access
Illinois				Unable to access
Indiana	Medicaid Terminated Provider List	FSSA	41	Yes
Iowa	Medicaid Terminated Provider List	HHS	955	Yes
Kansas	Medicaid Terminated Provider List	KDHE	153	Yes
Kentucky	Terminated and Excluded Providers	DMS	342	Yes
Louisiana	Adverse Actions List	LDH	3,962	Yes
Maine				Unable to access
Maryland	Sanctioned Providers	MDH	1,556	Yes
Massachusetts	Suspensions and Exclusions from MassHealth	MassHealth	262	Yes
Michigan	Medicaid Sanctioned Provider List	MDHHS	3,661	Yes
Minnesota	Health Care Programs Excluded Providers	MHCP	1,716	Yes
Mississippi	Medicaid Terminated Provider List	Mississippi Division of Medicaid	213	Yes
Missouri	Medicaid Provider Terminations	MMAC	239	Yes
Montana	Medicaid Excluded and Terminated Providers	DPHHS	160	Yes
Nebraska	Medicaid Sanctioned Providers	DHHS	1,203	Yes
Nevada	Medicaid Sanctions	DHCFP	1,381	Yes
New Hampshire	Medicaid Exclusion and Sanction List	DHHS	69	Yes
New Jersey	Ineligible Medicaid Providers	OIFP	7,108	Yes
New Mexico				No data available
New York	State Medicaid Exclusions	OMIG	8,355	Yes
North Carolina	Excluded Providers List	NC Medicaid Division of Health Benefits	246	Yes
North Dakota	Medicaid Terminated Provider List	NDHHS	194	Yes
Ohio	Medicaid Excluded and Suspended Providers	ODM	2,049	Yes
Oklahoma				No data available
Oregon	Medicaid Fraud Convictions	PIAU	134	Yes
Pennsylvania	Medicheck List	DHS	5,927	Yes
Rhode Island				No data available
South Carolina	Excluded Providers	SCDHHS	960	Yes
South Dakota				No data available
Tennessee	Terminated Providers List	OPI	19	Yes
Texas				Unable to access
Utah				No data available
Vermont				Unable to access
Virginia				No data available
Washington	Provider Termination and Exclusion List	HCA	233	Yes
West Virginia	Medicaid Provider Exclusions and Terminations	MMIS	306	Yes
Wisconsin				No data available
Wyoming	Medicaid Provider Exclusion List	WDH	187	Yes
Puerto Rico				No