Idaho: Medicaid Provider Exclusion List

Published by the Idaho Department of Health and Welfare, Medicaid Program Integrity Unit (as needed). Idaho's list of providers, individuals, and entities excluded from the Idaho Medicaid Program. The state says the file includes only exclusions it issued and does not replace the federal HHS-OIG list. Rows stay listed after reinstatement, with the reinstated date recorded on the row, so a match here needs verifying against the provider's current standing. 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.

About this list

The Idaho Department of Health and Welfare, Medicaid Program Integrity Unit, publishes this Medicaid Provider Exclusion List of providers, individuals, and entities excluded from the Idaho Medicaid Program. The cover says the file includes only exclusions issued by the Department and does not replace the federal HHS-OIG list. At the September 2026 verification the published PDF was stamped Last Updated April 17, 2026 and carried a five-column table of name, start date, eligible-for-reinstatement date, reinstated date, and additional information. There is no national provider identifier, date of birth, or license number on the row.

Each entry is a single name cell. People are written last name, then first name. Organizations have no comma. Some rows carry an also-known-as name in parentheses. A candidate match here rests on name comparison and needs verification against the state. Additional information is the state's own reason text and is stored in those words.

The cover says the list is not updated on a regular schedule, and that updates occur only when a new exclusion is added or a provider is reinstated. Rows stay listed after reinstatement, with the reinstated date recorded on the row. If no reinstatement date is listed, the state says the provider is still excluded. Finding no potential matches against this list does not mean that no Idaho exclusion exists.

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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

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