\ \

California Suspended and Ineligible Provider List

Medi-Cal law (Welfare and Institutions Code, sections 14043.6 and 14123) mandates that the California Department of Health Care Services (DHCS) suspends a Medi-Cal provider when he/she (a) has been convicted of a felony, (b) has been convicted of a misdemeanor involving fraud, abuse of the Medi-Cal program or any patient, or otherwise substantially related to the qualifications, functions, or duties of a provider of service, (c) has been suspended from the federal Medicare or Medicaid programs for any reason, (d) has lost or surrendered a license, certificate, or approval to provide health care, or (e) has breached a contractual agreement with the Department that explicitly specifies inclusion on this list as a consequence of the breach.

<< Back to Exclusion Database List