Pennsylvania Medicaid exclusion list
The Medicheck (Precluded Providers) List is published by the Pennsylvania Department of Human Services. ExclusionHQ downloads it every day and checks plan rosters in Pennsylvania against it, alongside the OIG LEIE and SAM.gov.
The free check below covers the federal lists; plans add this state's list. You can also search it on the state's own page.
- People on the list
- 6,478
- copy of Nov 6, 2026
- The state updates it
- every day
- Pennsylvania Department of Human Services
- Matched by
- exact name, NPI or licence
- the list has no dates of birth
Add dates of birth: the LEIE lists one for almost everyone, and it is what tells two people with the same name apart.
About the Pennsylvania list
Each entry gives the name, NPI, licence number, provider type and effective date; businesses are listed too, and plans check the people.
It has no dates of birth, so names must agree exactly or as a nickname and its full form, and NPIs and licence numbers match on their own. A name match there is a result to verify against the entry, not a confirmed match. See how matching works.
If a download fails, or the number of people on it falls by more than a fifth, the last good copy stays in use and the coverage page says so.
Pennsylvania on the federal lists
Of the people on the OIG exclusion list (the LEIE copy of Nov 6, 2026), 3,435 had a Pennsylvania address when they were excluded, 157 of them in the last 12 months. 53% were excluded on the mandatory grounds (convictions for program fraud, patient abuse or neglect, felony health care fraud or felony controlled-substance offences) and 40% after a health care licence was revoked, suspended or surrendered.
The most common professions among them: nurses and nurse aides (1,374), personal care providers (443) and pharmacists (156).
SAM.gov lists 1,944 excluded individuals with a Pennsylvania address, many of them the same people.
An OIG exclusion covers every federal health care program, in every state, so someone excluded elsewhere who moves to Pennsylvania is still excluded here: check every hire against the federal lists, wherever they come from.
Neighboring states
Someone who has worked across the state line can be on that state's Medicaid list without being on Pennsylvania's. If you hire from neighboring states, check their lists too:
- Delaware Medicaid exclusion listDelaware Medicaid sanctioned providers: not checked automatically yet
- Maryland Medicaid exclusion listMaryland Medicaid Sanctioned Provider List: checked by ExclusionHQ
- New Jersey Medicaid exclusion listNJ Ineligible Provider List: not checked automatically yet
- New York Medicaid exclusion listNYS Medicaid Exclusion List: checked by ExclusionHQ
- Ohio Medicaid exclusion listOhio Medicaid Provider Exclusion and Suspension List: checked by ExclusionHQ
- West Virginia Medicaid exclusion listWest Virginia Medicaid sanctioned providers: not checked automatically yet
Monthly monitoring
Monitor your Pennsylvania roster
Save your roster once. ExclusionHQ re-checks everyone against the OIG LEIE, SAM.gov and the Medicheck (Precluded Providers) List whenever one updates, emails you when something changes, and keeps a dated audit report for every check. From $39 a month for up to 100 people.
Questions
Does Pennsylvania keep its own Medicaid exclusion list?
Yes: the Medicheck (Precluded Providers) List, published by the Pennsylvania Department of Human Services. The copy of Nov 6, 2026 lists 6,478 people. Providers check it alongside the OIG LEIE and SAM.gov, and ExclusionHQ plans check all three.