Tx Medical Check Exclusion
tx_medical_check_exclusionIs this healthcare provider excluded from the Texas Medicaid program? Screens a person or business name, an NPI, and/or a license number against the Texas HHSC Office of Inspector General (OIG) Medicaid Provider Exclusions Database — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for Texas specifically, and the sibling of ny_omig_check_exclusion (New York) and ca_medical_check_exclusion (California). Answers "is this provider excluded from Texas Medicaid", "check this NPI against the Texas exclusions list", or pre-payment/credentialing screening for a Texas 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. Every match carries HHSC OIG's own free-text reason (e.g. "Federal mandated exclusion", "Conviction relating to Healthcare Fraud") and a currently_excluded flag DERIVED from whether the provider has since been reinstated — this dataset covers everyone EVER excluded, not only those currently excluded. Pass npi or license to turn a name lead into an identification. Sourced from the Texas HHSC OIG Exclusions Database File, 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 individual name and company name, any word order. | |
| limit | No | Maximum matches to return (default 10, max 50). | |
| license | No | Texas professional license number, if known. A license match is an identification. |