The Health Care Authorization (HCA) State Medicaid Exclusions List credential is a list that contains information about all individuals and organizations excluded from the Medicaid program. This list is updated quarterly and includes all providers, suppliers, and vendors that have been excluded from Medicaid due to violations of the law or policy. It is important that all Medicaid providers remain compliant with all of the criteria listed on the exclusion list.
The list also specifies if the exclusion applies to the entire state, or if it is limited to a particular region. It also includes information on the date of exclusion, the reason for exclusion, and any appeals that have been filed. This list is vital for ensuring that providers are being held accountable and are managing their practices in a manner that is in adherence to the law and policy. Further, it also necessitates that patients and families receive high-quality care and services from providers who are ethical and compliant with all regulations and guidelines.
