Arizona Exclusion List

The Arizona Excluded Providers List is a registry maintained by the Arizona state government, listing healthcare providers who are barred from participating in the state's Medicaid program due to past violations, such as fraud, criminal activity, or professional misconduct. Providers appearing on this list are ineligible for payment through Medicaid, protecting public funds and ensuring the integrity of healthcare services for Arizona's Medicaid beneficiaries.

• 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).