Fl Medical Exclusions

Is this healthcare provider excluded from, or sanctioned by, the Florida Medicaid program? Screens a person or business name, an NPI, a Florida license number, and/or a nine-digit Florida Medicaid provider number against the Florida Agency for Health Care Administration (AHCA) Medicaid Sanctioned Providers final-order list — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for Florida specifically, and the sibling of ny_omig_check_exclusion (New York), ca_medical_check_exclusion (California) and tx_medical_check_exclusion (Texas). Answers "is this provider excluded from Florida Medicaid", "check this NPI against the Florida AHCA sanctions list", or pre-payment/credentialing screening for a Florida Medicaid provider. An NPI, license-number or Medicaid-provider-number match is an IDENTIFICATION; a name match — even an exact one — is a CANDIDATE lead only, since AHCA publishes no date of birth. The list is one row per sanction ORDER and most orders are fines or corrective action plans, which are NOT exclusions: every match carries sanction_class and is_participation_exclusion, and only a SUSPENSION (1-year preclusion) or TERMINATION (20-year preclusion) is reported as an exclusion. Each match also carries the Rule 59G-9.070 violation codes with AHCA's published descriptions, the fine amount, case numbers, and a DERIVED nominal end date (AHCA publishes no reinstatement date). Sourced from AHCA's Public Records final-orders search, keyless.

What the Florida AHCA Medicaid Sanctioned Providers data covers and how current it is: total sanction final orders, how many are participation exclusions (suspensions/terminations) vs. fines and corrective action plans, distinct providers, how many orders carry an NPI, license or Medicaid provider number, the violation-code counts with AHCA's published key, the oldest and newest sanction dates, and when this pack's copy was captured. Use to check the screening data is fresh enough to rely on before a compliance decision, and to read the notes on the sanction-vs-exclusion distinction and the derived end dates. Pass year (e.g. 2025) or start_date/end_date to instead COUNT orders by sanction_date in that year or range, counted over the whole 7,000+ row list, not a page — answers "how many Florida Medicaid exclusions took effect in 2025". Returns participation_exclusion_count (suspensions + terminations only — the real exclusions) separately from all_sanction_orders_count (which also includes fines/CAPs, not exclusions); the response says which is which. Sourced from AHCA's Public Records final-orders search, keyless.