MHCP Excluded Provider Lists

Published by the Minnesota Department of Human Services, Minnesota Health Care Programs (monthly). Minnesota Health Care Programs excluded individual and group provider lists, updated monthly. Healthcare organizations screen staff and vendors against it to protect their program participation and billing eligibility. This page shows aggregate statistics only; it never lists or searches individual records.

About this list

The Minnesota Department of Human Services publishes two Minnesota Health Care Programs Excluded Provider Lists from its provider manual: excluded individual providers and excluded group providers. MHCP says it updates both lists monthly. A listed party is excluded from receiving payment from Medicaid funds. The lists also include providers terminated for fraud, theft, abuse, error, or noncompliance.

Each individual entry carries a last name, first name, optional middle name, provider type, exclusion status, an effective date, and an address when one is present. Each group entry carries a practice name, provider type, exclusion status, an effective date, and an address. Minnesota publishes no national provider identifier, date of birth, or license number. Exclusion status is an authority flavor (Medicaid authority, Medicare Medicaid exclusion, or Denied not eligible), not an open or closed flag. A candidate match here rests on name comparison and needs verification against the state.

There is no reinstatement or end-date column. A party leaves the list only by being dropped from a later publication, after a written request to DHS Program Integrity Oversight. A clean result against these lists is not a finding that no Minnesota exclusion exists.

Our copy's freshness

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

More sources: Federal OIG LEIE · SAM.gov · New York · Texas · all 45