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Database of Texas Medicaid Excluded Providers Available on OIG Website

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The database listing providers excluded from Texas Medicaid is available on the Texas Health and Human Services (HHS) Office of Inspector General (OIG) website.

To download a list of excluded providers, select the Download Exclusions File tab.

All current providers and those applying to participate in state health care programs must screen their employees and contractors every month to make sure that they are not on the exclusion list. This screening is required to enroll, revalidate, or reenroll in state health care programs.

Important: Texas Medicaid will not reimburse claims involving providers that are currently excluded or providers that employ excluded individuals and will seek to recover funds that were improperly paid for claims involving excluded individuals or entities.

Resources

For more information about excluded providers, refer to the Texas Medicaid Provider Procedures Manual (TMPPM), Volume 1, “Section 1: Provider Enrollment and Responsibilities.”

To report Medicaid providers suspected of fraud, waste, or abuse, call toll-free 800-436-6184 or visit http://oig.hhs.texas.gov/reportfraud.

For more information, call the TMHP Contact Center at 800-925-9126.