Medicaid Exclusions

Medicaid seeks to ensure that the medical providers participating in the program are professional, ethical, and provide recipients with quality healthcare services. When it is determined that a provider should no longer be eligible to participate in the program due to their unethical behavior, the individual or the entity is placed on a list of excluded providers.

To access this list, click on the links below. View explanation and disclaimers regarding the NYS Medicaid Exclusion List.

Providers with questions about exclusions should call the New York State Office of the Medicaid Inspector General (OMIG) at 518-402-1816.

Should you have a question regarding this notice or the status of the providers contained on the exclusion list, please contact the OMIG Administrative Remedies Unit at (518) 402-1816. If you would like additional information about the exclusion of any Medicaid provider, please submit a Freedom of Information Law (FOIL) request.

• Search online for exclusions (up to five names at once)
• Download options:
  1. Formatted list - A complete, formatted copy of exclusions
  2. Tab delimited list - A complete list of exclusions suitable for importing into applications or desktop spreadsheets.
  3. Export to Excel - A complete list of exclusions for Excel.
  4. Short List - A list of exclusions that commenced in the last 30 days.

• Enrolled Provider Search. Individuals who order/prescribe/refer/attend services payable by the fee-for-service Medicaid program must be enrolled. Billing and rendering providers should use this search feature to confirm the individual is enrolled.
• Professional Discipline. This website contains summary information of disciplinary actions taken against licensees by the Board of Regents in New York State since January 1, 1994.
• Professional Misconduct and Physician Discipline. This website offers a search capability for public documents regarding Professional Misconduct and Physician Discipline actions taken since 1990 for physicians, physician assistants, and specialist assistants.
• Health and Human Services. This website is the exclusions database for the federal Office of the Inspector General within the Department of Health and Human Services (HHS).
• State Education License Search. This website contains searchable information regarding professional individuals, establishments and entities which have been granted licenses or permits by the New York State Department of Education Office of Professions.
• Physician Profiles. This website provides profiles on all licensed doctors of medicine and doctors of osteopathy registered to practice in New York State.
• System for Award Management. This website provides information on parties excluded from receiving federal contracts.