# Ca Medical Exclusions (npm · @pipeworx/mcp-ca-medical-exclusions)

California DHCS Medi-Cal Suspended and Ineligible (S&I) Provider List screening — fleet #2805, the…

- Trust score: 81/100 (high trust)
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-11-05

## Components

- remote · `gateway.pipeworx.io`: 85/100, [markdown](https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/ca-medical-exclusions-mcp.md), [page](https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/ca-medical-exclusions-mcp)
- npm · `@pipeworx/mcp-ca-medical-exclusions`: 81/100 (this document), [markdown](https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions.md), [page](https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions)

## Channel facts

- Registry: `npm`
- Package: `@pipeworx/mcp-ca-medical-exclusions`
- Version: `0.2.2`
- Transport: `stdio`

## Trust breakdown

How this component scores in each security and reliability category. Every signal is checked automatically from public evidence about the published package, including repeated runs of it in an isolated sandbox, and we only credit what we can confirm. Scores are 0–100 per category. Scoring method: https://verifymcp.io/docs/scoring (what has changed: https://verifymcp.io/docs/scoring/changelog)

Scored 2026-11-05.

- **Supply Chain Security**: 100/100
  - No malware found by supply-chain analysis.
  - No known CVEs affecting this package version or its production dependencies.
  - No install/post-install scripts declared.
  - No production dependencies, so there is no dependency health to assess.
- **Provenance & Transparency**: 97/100
  - Source repository is publicly reachable at the declared URL.
  - Cryptographically verified build provenance (signed, bound to pipeworx-io/mcp-ca-medical-exclusions).
  - Clear OSI-approved license (MIT).
  - Actively maintained (last published 5 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 59/100
  - AI-judged instruction clarity (good).
  - Context-footprint check failed: tool/resource definitions use about 711 tokens (~355/item across 2 items; 2 tools + 0 resources), over budget; trim descriptions and params.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 20/100
  - Stability observed for 6 of 30 days with no destabilising changes; credit accrues until the full window elapses.
- **Tool Coverage**: 100/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 100% of tool parameters carry a description.
- **Tool Safety**: 100/100
  - No prompt-injection markers were found in the server instructions, tool names or descriptions we captured.
  - We read all 2 captured tool definition(s), and no name or description among them implies an irreversible operation.
  - An AI judge read all 3 captured unit(s) of tool text and found none that tries to manipulate the model reading it.
- **Capabilities**: 100/100
  - Implements a supported MCP spec version (2025-11-25); the latest is 2026-07-28.

## Install

### How do I install the Ca Medical Exclusions MCP server?

Ca Medical Exclusions runs locally as an npm package, launched with npx -y @pipeworx/mcp-ca-medical-exclusions. Ready-made configuration for Claude, Cursor, VS Code, Codex and 5 more is on this page, copied from each client's own documentation.

### Claude

```bash
claude mcp add pipeworx-io-ca-medical-exclusions -- npx -y @pipeworx/mcp-ca-medical-exclusions
```

### Cursor

```json
{
  "mcpServers": {
    "pipeworx-io-ca-medical-exclusions": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-ca-medical-exclusions"
      ]
    }
  }
}
```

### VS Code

```json
{
  "servers": {
    "pipeworx-io-ca-medical-exclusions": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-ca-medical-exclusions"
      ]
    }
  }
}
```

### Codex

```bash
codex mcp add pipeworx-io-ca-medical-exclusions -- npx -y @pipeworx/mcp-ca-medical-exclusions
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "pipeworx-io-ca-medical-exclusions": {
      "type": "local",
      "command": [
        "npx",
        "-y",
        "@pipeworx/mcp-ca-medical-exclusions"
      ],
      "enabled": true
    }
  }
}
```

### OpenClaw

```bash
openclaw mcp add pipeworx-io-ca-medical-exclusions --command npx --arg -y --arg @pipeworx/mcp-ca-medical-exclusions
```

### Hermes

```yaml
mcp_servers:
  pipeworx-io-ca-medical-exclusions:
    command: "npx"
    args: ["-y", "@pipeworx/mcp-ca-medical-exclusions"]
```

### Netclaw

```json
{
  "McpServers": {
    "pipeworx-io-ca-medical-exclusions": {
      "Transport": "stdio",
      "Command": "npx",
      "Arguments": [
        "-y",
        "@pipeworx/mcp-ca-medical-exclusions"
      ]
    }
  }
}
```

### Vellum

```bash
assistant mcp add pipeworx-io-ca-medical-exclusions -t stdio -c npx -a -y @pipeworx/mcp-ca-medical-exclusions
```

### Other

```json
{
  "mcpServers": {
    "pipeworx-io-ca-medical-exclusions": {
      "command": "npx",
      "args": [
        "-y",
        "@pipeworx/mcp-ca-medical-exclusions"
      ]
    }
  }
}
```

## Changelog

Every change recorded for this component, newest first. Days that predate change tracking, or that we cannot explain, say so: "we were watching and nothing happened" and "we were not watching" are different claims.

### 2026-11-05 (score 81, +1)

No change was recorded against any check on this day. Stability & Change Management went from 17 to 20. That category is still filling its 30-day observation window: 5 days of observed history at the previous scan, 6 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-11-03 (score 80, +1)

No change was recorded against any check on this day. Stability & Change Management went from 10 to 13. That category is still filling its 30-day observation window: 3 days of observed history at the previous scan, 4 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-11-01 (score 79, +16)

- [security improvement] Malware scan: unverified → pass
- [functional regression] Security disclosure: unverified → fail

### 2026-10-31 (score 63, 0)

- [functional improvement] Stability: unverified → 0.03
- [functional] Package version: 0.2.1 → 0.2.2

### 2026-10-30 (score 63)

First indexed and scored.

## MCP tools (2)

### `ca_medical_check_exclusion` (~417 tokens)

Is 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 parameters:

- `license` (string): California professional license/registration number, if known. A license match is an identification.
- `limit` (number): Maximum matches to return (default 10, max 50).
- `name` (string): 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.
- `npi` (string): The provider's 10-digit NPI, if known. An NPI match is an identification rather than a name lead — always pass it when known.

### `ca_medical_exclusion_coverage` (~236 tokens)

What the California DHCS Medi-Cal S&I (Suspended and Ineligible Provider) exclusion data covers and how current it is: total exclusions held, how many carry an NPI or license number, how many distinct provider types appear, the oldest and newest suspension dates, the list-wide statutory basis (Welfare & Institutions Code §§14043.6/14123), and the CHHS Open Data Portal's "last modified" date for the copy this pack serves. Use to check the screening data is fresh enough to rely on before a compliance decision, and to see the one-line note on what DHCS does NOT publish (a per-record exclusion reason). Pass year (e.g. 2025) or start_date/end_date to instead COUNT how many exclusions have a suspension date in that year or range, counted over the whole 23,000+ row list, not a page — answers "how many California Medi-Cal exclusions took effect in 2025". The response names the date field counted (suspended_since). Sourced from California DHCS via the CHHS Open Data Portal, keyless.

## Diagnostics

Captured diagnostic sections: Provenance, Dependencies. The full working is on the page: https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions#diagnostics

## Score history

- 2026-11-05: 81
- 2026-11-04: 80
- 2026-11-03: 80
- 2026-11-02: 79
- 2026-11-01: 79
- 2026-10-31: 63
- 2026-10-30: 63

## Common questions

### What is the Ca Medical Exclusions MCP server?

Ca Medical Exclusions is an MCP server listed in the public MCP registry as io.github.pipeworx-io/ca-medical-exclusions. California DHCS Medi-Cal Suspended and Ineligible (S&I) Provider List screening, fleet #2805, the… This page covers its npm package (@pipeworx/mcp-ca-medical-exclusions).

### Is the Ca Medical Exclusions MCP server safe to use?

Ca Medical Exclusions scores 81 out of 100 on VerifyMCP. We found no known CVEs affecting it as of 5 November 2026. It declares no install or post-install scripts. Its build provenance is signed and verified. That is a record of what we were able to check automatically, not an endorsement. The category breakdown on this page shows every signal behind the number, including the ones we could not confirm.

### What tools does the Ca Medical Exclusions MCP server expose?

Ca Medical Exclusions exposes 2 tools: ca_medical_check_exclusion, ca_medical_exclusion_coverage. Their descriptions and schemas cost roughly 653 tokens of context every time the server is loaded.

### Is the Ca Medical Exclusions MCP server still maintained?

Ca Medical Exclusions is still listed as active in the MCP registry. We last reached this channel on 5 November 2026. Those dates come from our own scans of the registry and the channel itself, not from anything the publisher announced.

### What licence is the Ca Medical Exclusions MCP server under?

Ca Medical Exclusions declares the MIT licence, which is OSI-approved. That covers the source only, and says nothing about the cost of any service it calls.

### What did VerifyMCP test on the Ca Medical Exclusions MCP server?

VerifyMCP ran 16 checks on Ca Medical Exclusions, covering Malware scan, Known CVEs, Install scripts, Dependency health and 12 more. Endpoint Security and Transport & Reachability do not apply to an npm package, so they were not tested. The score does not measure everything, and the scoring documentation lists what it leaves out.

## Links

- npm package: https://www.npmjs.com/package/@pipeworx/mcp-ca-medical-exclusions
- Socket report: https://socket.dev/npm/package/@pipeworx/mcp-ca-medical-exclusions
- Repository: https://github.com/pipeworx-io/mcp-ca-medical-exclusions
- Website: https://pipeworx.io/packs/ca-medical-exclusions
- Changelog RSS feed: https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions.xml
- Changelog JSON feed: https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions/changelog.json
- Trust report (JSON): https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions.json
- HTML version of this page: https://verifymcp.io/servers/pipeworx-io-ca-medical-exclusions/pipeworx-mcp-ca-medical-exclusions