Arizona AHCCCS Provider Fraud/Actions: A Provider’s Guide to the Arizona Medicaid Exclusion List
Arizona Health Care Cost Containment System (AHCCCS) maintains the Arizona AHCCCS Provider Fraud/Actions — a separate Medicaid exclusion…
Category State Exclusion Lists
Every state Medicaid exclusion list in one place. Forty-four states plus DC maintain their own exclusion databases beyond the federal LEIE and GSA/SAM. This section covers which states have separate lists, what each list requires, update frequencies, state-specific screening requirements (like Texas internal review and New Jersey lifetime attestation), and the ACA §6501 cross-state termination framework.
Read MoreArizona AHCCCS Provider Fraud/Actions: A Provider’s Guide to the Arizona Medicaid Exclusion List
Alaska Excluded Provider List: A Provider’s Guide to the Alaska Medicaid Exclusion List
The state of Alaska maintains the Alaska Excluded Provider List — a separate Medicaid exclusion list providers must…
Interactive Guide To State Medicaid Exclusion Lists
The 44 state Medicaid exclusion lists — each state's program name, issuing agency, file format, and the screening obligations providers have to meet. By former DOJ Health Care Fraud Coordinator Paul Weidenfeld.
A Provider’s Guide to Washington State Medicaid
This guide is intended to assist Apple Health providers on exclusion and sanction screening obligations for anyone whose role could affect Medicaid billings or deliverables — clinical and non-clinical — and describes how to screen, document, remediate, and report matches.
A Provider’s Guide to New York Medicaid Exclusion Screening
This article focuses on helping providers understand New York Medicaid exclusion screening law, and its exclusion screening requirements so that they can avoid the risks associated with employing or doing business with excluded parties.
A Provider’s Guide to Alabama Medicaid Exclusion Screening
This short question and answer summary will help providers understand and comply Alabama’s exclusion and sanction screening rules and regulations.
California Exclusion List Screening Requirements
California Department of Health Care Services maintains the California Medi-Cal Suspended and Ineligible Provider List — a separate…
Pennsylvania Medicheck Preclusion List: A Provider’s Guide to Screening
Pennsylvania Department of Human Services maintains the Pennsylvania Medicheck Preclusion List — a separate Medicaid exclusion list providers…