Ca Medical Check Exclusion
ca_medical_check_exclusionIs this healthcare provider barred from California's Medi-Cal program? Screens a person or business name, an NPI, and/or a license/provider number against the California DHCS Medi-Cal Suspended and Ineligible (S&I) Provider List — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for California specifically, and the sibling of ny_omig_check_exclusion for New York. Answers "is this provider excluded from Medi-Cal", "check this NPI against the California S&I list", or pre-payment/credentialing screening for a California Medicaid provider. An NPI or license-number match is an IDENTIFICATION (both are exact, provider-specific identifiers); a name match — even an exact one — is a CANDIDATE lead only, since this list carries no date of birth to tell same-named providers apart and many entity rows have no first/middle name. Returns provider type, any AKA/DBA, and the suspension effective date for every match. DHCS's published data does not include a per-record exclusion reason or statute (every response names the list-wide statutory basis instead: Welfare & Institutions Code §§14043.6/14123). Pass npi or license to turn a name lead into an identification. Sourced from the California DHCS S&I List via the CHHS Open Data Portal, keyless.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| npi | No | The provider's 10-digit NPI, if known. An NPI match is an identification rather than a name lead — always pass it when known. | |
| name | No | Provider or business name to screen, e.g. "John Smith" or "Acme Pharmacy Corp". Matched against the provider's name and any listed AKA/DBA, any word order. | |
| limit | No | Maximum matches to return (default 10, max 50). | |
| license | No | California professional license/registration number, if known. A license match is an identification. |