Pennsylvania Medicaid exclusion list
Pennsylvania publishes its Medicaid exclusion list as a CSV file; the agency updates it daily. 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: Pennsylvania Medicheck Precluded Providers List.
Counts are from the published RosterProof dataset, refreshed weekly; the page re-reads them on load. Format: CSV · cadence: daily · last change RosterProof observed: 2026-10-26.
What the federal gap means in Pennsylvania
Of the 4,895 active records on the Pennsylvania list, 20.7% 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 Pennsylvania exclusion matters to any payer or employer in any state. The earliest exclusion start date the agency publishes is 1957-01-21 and the most recent is 2026-08-20 (dates are shown exactly as published). 1,369 of the records belong to providers that at least one other jurisdiction has also excluded. How the gap is measured, for every state: The federal gap, measured.
How to check a provider against the Pennsylvania list
- In the browser, no account: paste or upload NPIs on Screen my providers. Each NPI is checked against the Pennsylvania 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 = 'PA'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 Pennsylvania list (and OIG's SSN-based search for LEIE matches).
Screen my providers → Official PA list ↗
About this source
| Official list | Pennsylvania Medicheck Precluded Providers List |
|---|---|
| Published as | a CSV file |
| Update cadence | The agency updates it daily |
| Records in RosterProof | 6,726 total, 4,895 active, 10 with a start date in the last 90 days |
| Identity resolution | 1,665 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 = 'PA', JURISDICTION = 'PA' |
| Attribution | 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):