Andrew M. Cuomo

Governor

Dennis Rosen

Medicaid Inspector General


Medicaid Exclusions

The Medicaid program wants to ensure that the best medical professionals participate in the Medicaid program. When it is determined that a provider should no longer be eligible to participate, the individual or the entity is placed on a list of excluded providers. To access this list, click on the link below, and please review the explanation and disclaimers regarding the NYS Medicaid Exclusion List. Providers with questions about exclusions should call the New York State Office of the Medicaid Inspector General (OMIG) at 518-486-9956.

List Options:
  1. List of Exclusions:

    • Search - A search for Exclusions with the ability to search for five names at once.
    • Download Exclusion List Options:
      1. Formatted list - A complete, formatted copy of the List of Exclusions.
      2. Tab delimited list - A complete list of Exclusions suitable for importing into applications or desktop spreadsheets.
      3. Export to Excel - A complete list of Exclusions.
      4. Short List - A list of exclusions that commenced in the last 30 days.

    Additional Resources for Provider Information:
    1. Enrolled Provider Search. Individuals who order/prescribe/refer/attend services payable by the fee-for-service Medicaid Program must be enrolled in the fee-for-service Medicaid Program. Billing/rendering providers should use this search feature to confirm the individual is enrolled.
    2. Professional Discipline. This website, hosted by the Office of Professions within the New York State Department of Education, contains summary information of disciplinary actions taken against licensees by the Board of Regents in New York State since January 1, 1994.
    3. State Education Enforcement Actions. This website, hosted by the Office of Professions within the New York State Department of Education, contains searchable information regarding professional individuals, establishments and entities which have been the subject of disciplinary actions taken against licensees by the Board of Regents in New York State since January 1, 1994.
    4. Professional Misconduct and Physician Discipline. This website, hosted by the Office of Professional Medical Conduct within the New York State Department of Health, offers a search capability for public documents regarding Professional Misconduct and Physician Discipline actions taken since 1990 for physicians, physician assistants and specialist assistants.
    5. Health and Human Services. This website, hosted by the Office of the Inspector General within the federal Department of Health and Human Services (HHS), outlines their exclusion program and includes a searchable version of their List of Excluded Individuals/Entities (LEIE).
    6. State Education License Search. This website, hosted by the Office of Professions within the New York State Department of Education, contains searchable information regarding professional individuals, establishments and entities which have been granted licenses or permits by the Office of Professions.
    7. Physician Profiles. This website, hosted by the New York State Department of Health and required by the New York Patient Health Information and Quality Improvement Act of 2000, makes it possible for all citizens of New York to get information about physicians (doctors).
    8. Government Services Administration.This website is provided as a public service by the Government Services Administration for the purpose of efficiently and conveniently disseminating information on parties that are excluded from receiving federal contracts, certain subcontracts, and certain federal financial and non-financial assistance and benefits, called the System for Award Management (SAM).