Idaho Medicaid exclusion list
Idaho publishes its Medicaid exclusion list as a PDF; the agency updates it on no fixed schedule. RosterProof loads it every week into the same schema as the federal OIG LEIE, SAM.gov and 41 other state lists, resolves names to NPIs where the national registry confirms them, and keeps every change. The official list is the record of truth: Idaho Medicaid Exclusion List (DHW Medicaid Program Integrity).
Counts are from the published RosterProof dataset, refreshed weekly; the page re-reads them on load. Format: PDF · cadence: irregular · last change RosterProof observed: 2026-10-21.
What the federal gap means in Idaho
Of the 156 active records on the Idaho list, 30.1% do not appear on the federal OIG LEIE. A program that screens only the federal lists, as 42 CFR 455.436 requires at minimum, never sees those providers. Under ACA §6501, an exclusion or for-cause termination in one state's Medicaid program is grounds for termination in every other state, so a Idaho exclusion matters to any payer or employer in any state. The earliest exclusion start date the agency publishes is 1994-11-28 and the most recent is 2026-03-11. How the gap is measured, for every state: The federal gap, measured.
How to check a provider against the Idaho list
- In the browser, no account: paste or upload NPIs on Screen my providers. Each NPI is checked against the Idaho list and every other list at once; results download as CSV.
- By API:
POST /v1/screenwith NPIs, names or organizations; a free key allows 500 lookups a month. API documentation. - In your warehouse: the free Snowflake listing or the weekly CSV / Parquet download; filter
JURISDICTION = 'ID'inEXCLUSIONS_SCREENABLE. - Then confirm with the agency. A hit identifies a published record and, where present, an NPI match with a stated confidence. Before any adverse action, verify against the official Idaho list (and OIG's SSN-based search for LEIE matches).
Screen my providers → Official ID list ↗
About this source
| Official list | Idaho Medicaid Exclusion List (DHW Medicaid Program Integrity) |
|---|---|
| Published as | a PDF |
| Update cadence | The agency updates it on no fixed schedule |
| Records in RosterProof | 164 total, 156 active, 0 with a start date in the last 90 days |
| Identity resolution | 0 distinct NPIs confirmed in the CMS NPPES registry; the rest are name-only records, matched by exact name and state. Match tiers: data dictionary. |
| Source identifier | SOURCE_ID = 'ID', JURISDICTION = 'ID' |
| Attribution | The Idaho Department of Health and Welfare notes that its list holds Idaho-issued exclusions only and directs users to check the federal lists as well. Full notices for every source: Attribution & notices. |
Other state lists
Every list RosterProof loads, each with its official source and how to screen against it (all states + DC):