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US Michigan Medicaid Sanctioned Provider List

Providers who have been terminated for cause from Michigan's Medicaid program.

The Michigan Department of Health and Human Services (MDHHS) maintains a list of providers who have been sanctioned from participating in the Michigan Medicaid program.

Pursuant to Section 1128 and Section 1902(a)(39) of the Social Security Act, the Medicaid Program will not reimburse a provider for any services or items that were rendered or ordered/prescribed by a sanctioned (e.g., suspended, excluded) provider. The effect of the provider's sanction precludes them from furnishing, ordering, or prescribing services or items to any Medicaid beneficiary. Claims for services/items rendered/ordered/prescribed by a sanctioned provider with dates of service or dispensing after the effective date of the sanction, will be rejected or disallowed if discovered during a post-payment review. Refills of prescriptions written by a sanctioned provider must not be dispensed beyond the effective date of the sanction letter. Claims for services/items rendered/ordered/prescribed by a provider for whom sanctions have been removed will be honored retroactively to the date the sanction ended.

Data overview

Entities:
Total7,999
Searchable4,137
Targets3,642
Entity types:
People3,184
Addresses495
Companies458
Countries:
United States4,137
Publisher:Michigan Department of Health & Human Services (MDHHS) · United States

The Michigan Department of Health and Human Services (MDHHS) is a principal department of state of Michigan, that provides public assistance, child and family welfare services, and oversees health policy and management.

Collections:in Debarred Companies and Individuals · OpenSanctions Default
Information:www.michigan.gov
Source data:www.michigan.gov · HTML
Coverage:added · update frequency: daily
Last processed:2024-11-01 18:18:04
Last change:

Bulk download

Downloads contain the full set of entities contained in this dataset. You can fetch a simplified tabular form, or detailed, structured data in JSON format. Updated files will be provided once a day at the same location.

File nameExport typeSize
entities.ftm.jsonFollowTheMoney entities4.24 MB
list.xlsxSource data316.34 KB
names.txtTarget names text file58.24 KB
senzing.jsonSenzing entity format2.62 MB
targets.nested.jsonTargets as nested JSON5.54 MB
targets.simple.csvTargets as simplified CSV934.13 KB

Help: Using the data · model reference · delta updates · support · change log · licensing

Using the API

You can query the data in this dataset via the application programming interface (API) endpoints below. Please read the introduction for documentation and terms of service.

Use the Reconciliation API in OpenRefine:
For full-text search, use the /search endpoint:
For entity matching, use the /match endpoint:

Recent additions

The following targeted entities have been added to this data source most recently:

AddedNameTypeCountries
Husam AbedPersonUnited States
Opey McGeePersonUnited States
Shanetta HudsonPersonUnited States
Ashlee WhitePersonUnited States
Wahid SabayaPersonUnited States
Gerald CagePersonUnited States
Karl MancePersonUnited States
Electa AwangaPersonUnited States
Thumb Coast Transportation ServiceCompanyUnited States
Maurice Basil Potts Jr.PersonUnited States
Shirleen RaineyPersonUnited States
Genesys Home Help LLCCompanyUnited States
Valued Service Direct Home Care IncCompanyUnited States
Paulette BlackwellPersonUnited States
Dawn A HowardPersonUnited States