Oh Medical Check Exclusion
oh_medical_check_exclusionIs this healthcare provider excluded from, or suspended from, the Ohio Medicaid program? Screens a person or organization name, an NPI, and/or an ODM Provider ID against the Ohio Department of Medicaid (ODM) Provider Exclusion & Suspension List — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for Ohio specifically, and the sibling of ny_omig_check_exclusion (New York), ca_medical_check_exclusion (California), tx_medical_check_exclusion (Texas), fl_medical_check_exclusion (Florida), pa_medical_check_exclusion (Pennsylvania) and ga_medical_check_exclusion (Georgia). Answers "is this provider excluded from Ohio Medicaid", "check this NPI against the Ohio ODM exclusion list", or pre-payment/credentialing screening for an Ohio Medicaid provider. An NPI or Provider ID match is an IDENTIFICATION (both are exact identifiers ODM assigns/records, and either can be a comma-joined list on one row when a provider is excluded under multiple registrations); a name match — even an exact one — is a CANDIDATE lead only, since this list carries no date of birth. Every match carries ODM's own Status field (Excluded, Suspended, or occasionally Terminated/blank) and a currently_excluded flag DERIVED from it — null with status_unknown:true when the status is not a recognized Excluded/Suspended value, rather than a guess. Pass npi or provider_id to turn a name lead into an identification. Sourced from the Ohio ODM Provider Exclusion & Suspension List, 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 organization name to screen, e.g. "John Smith" or "Acme Home Health". Matched against the provider's individual name and organization name, any word order. | |
| limit | No | Maximum matches to return (default 10, max 50). | |
| provider_id | No | ODM's own Provider ID, if known. A Provider ID match is an identification. |