Michigan Exclusion List

The MDCH Sanctioned Provider List reflects the sanctioned provider's name, NPI (if available), license/certification number if applicable), along with the sanctioning authority, sanction date and reason for sanction*. As additions and deletions are made to the list, the changes will be published in Medicaid Policy Bulletins. MDCH does not publish paper copies of the complete.

• Why it matters: Services ordered, referred, or rendered by excluded parties are non‑payable; employing or contracting with excluded providers risks recoupment and civil monetary penalties.
• What to verify: Legal name and aliases, NPI/Medicaid ID, license/board status, date of birth (if available), last known city/state, and exclusion effective/end dates.
• Update cadence: Typically updated monthly by the state. Record the file’s “as of” date and screen at hire and monthly thereafter.
• Compliance tips:
  • Cross‑check with OIG LEIE and SAM.gov and retain dated evidence of each search.
  • Add system blocks to prevent ordering/prescribing by excluded providers.
  • Document remediation steps for positive matches (schedule removal, claim holds, notifications).