Colorado: Terminated Provider List (terminations for cause)

Published by the Colorado Department of Health Care Policy and Financing (HCPF), Program Integrity Section (monthly to bimonthly). Colorado Medicaid terminations for cause, plus a companion reinstated-providers list. This is a termination list, not an exclusion list, and each record keeps the termination authority the state publishes. Healthcare organizations screen staff and contractors against it to protect their program participation and billing eligibility.

To look up one person, start from the official page. This page summarizes the list itself: how many records it holds, how often it changes, and what to know when screening against it. It never lists individual people.

320

Terminated providers currently listed (records without a past reinstatement date).

337

Records on file, including any reinstated history the source publishes.

273 / 64

Individuals / businesses and other entities.

About this list

The Colorado Department of Health Care Policy and Financing, Program Integrity Section, publishes a Terminated Provider List of providers terminated for cause from Health First Colorado (Colorado Medicaid), plus a companion Reinstated Provider List. This is a termination list, not an exclusion list. A listed provider may not receive Medicaid reimbursement. At the August 2026 verification the two files together held name, doing-business-as, national provider identifier, termination authority, and termination effective date, with an explicit reinstatement date on the companion list.

Each entry carries a single provider-name cell (older rows are last name, then first name; newer rows are natural order), an optional doing-business-as name, and a national provider identifier when one is present. The termination authority is the regulation the state cites. A candidate match from this list is a potential match requiring verification, and given the state's own framing it is a starting point for a question about a termination, never an exclusion determination.

Colorado removes reinstated providers from the termination list and publishes them on the companion list with a reinstatement effective date. A provider can appear on both lists at once when a later termination follows an earlier reinstatement. There is no published update schedule; filenames carry an effective-date stamp. Finding no potential matches against this list does not mean that no Colorado termination exists.

Our copy's freshness

ArtifactStatusLast verified pull (age, days)Records
full fresh 1.7 337

Every pull is archived with a SHA-256 checksum before parsing, and anomalous changes are quarantined automatically while the last verified version keeps serving. Live state for all sources is on the status board.

Recent versions

VerifiedRecordsChange
2026-10-28 337 +1
2026-10-12 336 +1
2026-09-28 335 -

HHS-OIG's 2013 Special Advisory Bulletin on the Effect of Exclusion leaves screening frequency to each provider, and notes that because the LEIE is updated monthly, screening each month best limits overpayment and penalty liability. ExclusionSentry screens your roster against this list and 44 other sources on every run, with a timestamped audit PDF citing the exact source versions used.

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