Ohio exclusion list

Medicaid Provider Exclusion and Suspension List

The Ohio Department of Medicaid publishes a provider exclusion and suspension list, with each provider’s last known address and date of birth to help identification.

At a glance

Published by
Ohio Department of Medicaid
Format
Downloadable file on the ODM provider page
Updates
Frequently; ODM advises using the current file rather than a saved copy
Covers
Medicaid exclusions, Suspensions
Open the official list

What is on the list

  • ODM includes the provider’s last known address and date of birth to help confirm identity.
  • The list does not include individuals terminated from Ohio Medicaid because of license issues.
  • ODM updates the file frequently and asks users to download the current one each time.
  • A voluntary termination is different from an adverse action and has different consequences.

How to check a name against it

  1. Download the current file from the ODM provider exclusion and suspension page.
  2. Search by name and compare address and date of birth.
  3. Treat a name match as a potential match until the identity is confirmed with the publisher, using identifiers such as NPI, license number, date of birth or address.

Check the federal lists too

A state list covers that state’s program. The federal LEIE and SAM.gov lists apply everywhere, so a complete check includes them.

Check names against every list at once

Exclia checks your employees, contractors and vendors against federal and state lists, keeps a dated record of every check, and flags potential matches for your review.