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May 1, 2012 - April 30, 2013
The Medicheck List identifies providers, individuals, and other entities who are precluded from participation in the Medical Assistance (MA) Program. This List was previously sent monthly by way of an 88 series MA Bulletin. Effective January 2002, hard copies of the List were discontinued and all listings and updates are now issued through this site. Previous versions of Medicheck List Bulletins can be viewed from the Medical Assistance Bulletins page on this site. The Medicheck list can be searched by provider name, license number, business name, or by using the “Search by” pull-down menu; also available is a complete Medicheck list, sorted by provider last name.
The List of Excluded Individuals/Entities (LEIE), maintained by the Department of Health and Human Services, Office of Inspector General (DHHS/OIG), is a data base of all individuals or entities that have been excluded nationwide from participation in any federal health care program, e.g., Medicaid and Medicare. Pursuant to federal and state law, any individual or entity included on the LEIE is ineligible to participate, either directly or indirectly, in the MA Program. The LEIE is easy to use and can be searched and downloaded from the OIG's web site at http://oig.hhs.gov/fraud/exclusions.asp. Although the Department makes best efforts to include on the Medicheck List all federally excluded individuals/entities who practice in Pennsylvania, providers should also use the LEIE to ensure that the individual/entity is eligible to participate in the MA Program.
No. In accordance with 55 Pa. Code Section 1101.82(a), providers who have reached the end of their preclusion period must request and be re-enrolled by the Department in order to participate.
If, after searching The Medicheck list, you discover a potential match on an individual or entity, the Bureau of Program Integrity (the Bureau) can be contacted at 717-705-6872 to assist you in validating that match. Please note that the Bureau does not perform routine screenings for providers or contracted agencies hired to perform such screenings. In order to validate a potential match, the Bureau requests that you provide the following information via email @ RA-BPI-Preclusions@state.pa.us.
The name of the individual or entity
Date of Birth
Last four digits of the potential match’s social security number
License number of the potential match (if applicable)
Occupation of the potential match, for example: MD, RN, Housekeeper, or Speech Therapist.
Please allow 10 business days from the Department’s receipt of the request to receive a response.