Montana Exclusion List
Overview and guidance for this database. Use SecureEPLS to screen quickly and confidently.
When determined by the appropriate authority, that a Montana Medicaid Provider needs to be terminated or
excluded from the Medicaid program under 42 CFR 1002.210, the state agency must provide notification. In
accordance with Administrative Rules of Montana (ARM) 37.85.507, 42 CFR 1001.2005 and 42 CFR 1001.2006 this
list serves as notice to the state licensing agencies and others regarding these excluded and or terminated
providers.
- 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).
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