About the Medi-Cal Suspended and Ineligible Provider List
California’s Medi-Cal Suspended and Ineligible Provider List is Designed to Safeguard Beneficiaries and Protect the Financial Integrity of…
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.
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North Carolina Exclusion Screening Requirements
To understand the North Carolina Exclusion Screening Requirements, we must first touch upon Exclusions in general. Office of…
Massachusetts Medicaid Exclusion Screening Requirements
Massachusetts Medicaid Exclusion Screening: Requirements and Best Practices for Compliance The Massachusetts Medicaid Exclusion requirements, under MassHealth, will…
A Provider’s Guide to Texas Medicaid Exclusions: Exclusion Screening Requirements and Best Practices for Compliance
(December 17, 2018): Texas Medicaid Exclusions will prevent the Texas Medicaid Program from paying for any item or…
Alert to Florida Providers Regarding Screening
I. Florida’s State Exclusion. Excluded Providers Costs OIG Over 2.7 Million The Office of the Inspector General (OIG)…