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Texas Medicaid exclusion list

Texas HHSC-OIG Exclusions List · in the RosterProof dataset · as of 2026-10-29

Texas publishes its Medicaid exclusion list as an Excel workbook; 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: Texas HHSC-OIG Exclusions List.

11,956
active exclusion records
12,904
individuals
524
organizations
2,443
NPPES-verified NPIs
48.8%
of active records not on the federal LEIE
1,032
also excluded in another jurisdiction

Counts are from the published RosterProof dataset, refreshed weekly; the page re-reads them on load. Format: Excel · cadence: daily · last change RosterProof observed: 2026-10-26.

What the federal gap means in Texas

Of the 11,956 active records on the Texas list, 48.8% 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 Texas exclusion matters to any payer or employer in any state. The earliest exclusion start date the agency publishes is 1959-02-03 and the most recent is 2026-09-20 (dates are shown exactly as published). 1,032 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 Texas list

  1. In the browser, no account: paste or upload NPIs on Screen my providers. Each NPI is checked against the Texas list and every other list at once; results download as CSV.
  2. By API: POST /v1/screen with NPIs, names or organizations; a free key allows 500 lookups a month. API documentation.
  3. In your warehouse: the free Snowflake listing or the weekly CSV / Parquet download; filter JURISDICTION = 'TX' in EXCLUSIONS_SCREENABLE.
  4. 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 Texas list (and OIG's SSN-based search for LEIE matches).

Screen my providers → Official TX list ↗

About this source

Official listTexas HHSC-OIG Exclusions List
Published asan Excel workbook
Update cadenceThe agency updates it daily
Records in RosterProof13,428 total, 11,956 active, 12 with a start date in the last 90 days
Identity resolution2,443 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 identifierSOURCE_ID = 'TX', JURISDICTION = 'TX'
AttributionTexas HHSC asks that copies name HHSC as the source with the web address and copy date, and that any modification is labeled. 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):

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew YorkNorth CarolinaNorth DakotaOhioOregonPennsylvaniaSouth CarolinaTennesseeVermontWashingtonWest VirginiaWyoming
Verify before adverse action. RosterProof is a screening data layer, not a fraud detector. A hit identifies a published exclusion record and, where present, an NPI match with a stated confidence. Confirm against the source agency before taking any action. Free for compliance screening under the Terms of Use.