WV Provider Exclusions and Terminations

Published by the West Virginia Bureau for Medical Services, via Gainwell / the state MMIS portal (monthly). West Virginia Medicaid Provider Sanctioned/Exclusion list. The file mixes exclusions and terminations, and each record keeps the action word the state publishes. 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 West Virginia Bureau for Medical Services publishes this Provider Sanctioned/Exclusion list through Gainwell on the state MMIS portal. The file is titled WV Provider Exclusions and Terminations. The state uses both words. A listed party may be excluded, terminated, or both, and each record keeps the action word the state publishes.

Each entry carries a last name and first name, or a business name in the last-name cell, a national provider identifier when one is present, an address, an action date, the excluded or terminated status, and the reason in the state's own words. West Virginia publishes no date of birth and no professional license number. A candidate match here rests on name comparison, supported by an NPI where one is present, and needs verification against the state.

BMS provider guidance says the list is updated monthly, and only the current month's file is listed. There is no reinstatement or end-date column. A party leaves the list only by being dropped from a later publication. A clean result against this list is not a finding that no West Virginia exclusion or termination 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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