# Nc Medical Exclusions (npm · @pipeworx/mcp-nc-medical-exclusions)

NC Medicaid (Division of Health Benefits, Office of Compliance and Program Integrity) State…

- Trust score: 81/100 (high trust)
- Change this week: +3
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-11-05

## Components

- remote · `gateway.pipeworx.io`: 77/100, [markdown](https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/nc-medical-exclusions-mcp.md), [page](https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/nc-medical-exclusions-mcp)
- npm · `@pipeworx/mcp-nc-medical-exclusions`: 81/100 (this document), [markdown](https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions.md), [page](https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions)

## Channel facts

- Registry: `npm`
- Package: `@pipeworx/mcp-nc-medical-exclusions`
- Version: `0.2.1`
- 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-nc-medical-exclusions).
  - Clear OSI-approved license (MIT).
  - Actively maintained (last published 2 days ago).
  - Disclosure check failed: no security disclosure policy was found in the source repository.
- **Schema Quality & AI Usability**: 58/100
  - AI-judged instruction clarity (good).
  - Context-footprint check failed: tool/resource definitions use about 755 tokens (~377/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**: 23/100
  - Stability observed for 7 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 Nc Medical Exclusions MCP server?

Nc Medical Exclusions runs locally as an npm package, launched with npx -y @pipeworx/mcp-nc-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-nc-medical-exclusions -- npx -y @pipeworx/mcp-nc-medical-exclusions
```

### Cursor

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

### VS Code

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

### Codex

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

### opencode

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

### OpenClaw

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

### Hermes

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

### Netclaw

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

### Vellum

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

### Other

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

### 2026-11-04 (score 81, +16)

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

### 2026-11-03 (score 65, −13)

- [security regression] Malware scan: pass → unverified
- [functional regression] Security disclosure: fail → unverified
- [functional improvement] Stability: unverified → 0.17
- [functional] Package version: 0.2.0 → 0.2.1

### 2026-10-30 (score 78, 0)

- [functional regression] Security disclosure: unverified → fail

### 2026-10-29 (score 78)

First indexed and scored.

## MCP tools (2)

### `nc_medical_check_exclusion` (~501 tokens)

Is this healthcare provider excluded from the North Carolina Medicaid program? Screens a person or business name, an NPI, and/or an atypical (non-NPI) Medicaid provider ID against NC Medicaid's (Division of Health Benefits, Office of Compliance and Program Integrity) State Excluded Providers List — the state-level counterpart to the federal HHS OIG LEIE (see the leie pack) for North Carolina 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), ga_medical_check_exclusion (Georgia), oh_medical_check_exclusion (Ohio) and nj_medical_check_exclusion (New Jersey). Answers "is this provider excluded from North Carolina Medicaid" or pre-payment/credentialing screening for an NC Medicaid provider. An NPI or atypical-ID match is an IDENTIFICATION (both are exact, provider-specific identifiers); a name match against the EXCLUDED ENTITY field — even an exact one — is a CANDIDATE lead only, since this list carries no date of birth to tell same-named providers apart. A name that matches only the OWNERSHIP field (not the excluded entity) comes back as ownership_only_match with excluded:false — NC Medicaid's own note says an owner/principal name is NOT itself excluded unless separately listed. This dataset is a CURRENT SNAPSHOT (no history of lifted exclusions), so every match is currently_excluded:true. Pass npi or atypical_id to turn a name lead into an identification. Sourced from the NC Medicaid State Excluded Providers List, keyless.

Input parameters:

- `atypical_id` (string): NC Medicaid's non-NPI "atypical" provider ID, if known (used for some providers instead of an NPI). A match is an identification.
- `limit` (number): Maximum matches to return (default 10, max 50).
- `name` (string): Provider or business name to screen, e.g. "Jane Doe" or "Acme Home Health LLC". Matched against the excluded entity name first, then the ownership field.
- `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.

### `nc_medical_exclusion_coverage` (~195 tokens)

What the NC Medicaid State Excluded Providers List covers and how current it is: total rows, how many carry an NPI vs. an atypical (non-NPI) ID, the distinct exclusion reasons published (FEDERAL, STATE, OIG, and combinations), and the oldest/newest exclusion effective dates. Notes that this is a CURRENT SNAPSHOT (not an ever-excluded history) — a reinstated provider simply disappears from the next monthly file. Pass year (e.g. 2025) or start_date/end_date to instead COUNT how many exclusions have an effective date in that year or range, counted over the whole list, not a page — answers "how many NC Medicaid exclusions took effect in 2025". The response names the date field counted (effective_date — NC Medicaid's own EFFECTIVE DATE column). Sourced from the NC Medicaid State Excluded Providers List, keyless.

## Diagnostics

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

## Score history

- 2026-11-05: 81
- 2026-11-04: 81
- 2026-11-03: 65
- 2026-11-02: 78
- 2026-11-01: 78
- 2026-10-31: 78
- 2026-10-30: 78
- 2026-10-29: 78

## Common questions

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

Nc Medical Exclusions is an MCP server listed in the public MCP registry as io.github.pipeworx-io/nc-medical-exclusions. NC Medicaid (Division of Health Benefits, Office of Compliance and Program Integrity) State… This page covers its npm package (@pipeworx/mcp-nc-medical-exclusions).

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

Nc 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 Nc Medical Exclusions MCP server expose?

Nc Medical Exclusions exposes 2 tools: nc_medical_check_exclusion, nc_medical_exclusion_coverage. Their descriptions and schemas cost roughly 696 tokens of context every time the server is loaded.

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

Nc 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 Nc Medical Exclusions MCP server under?

Nc 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 Nc Medical Exclusions MCP server?

VerifyMCP ran 16 checks on Nc 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-nc-medical-exclusions
- Socket report: https://socket.dev/npm/package/@pipeworx/mcp-nc-medical-exclusions
- Repository: https://github.com/pipeworx-io/mcp-nc-medical-exclusions
- Website: https://pipeworx.io/packs/nc-medical-exclusions
- Changelog RSS feed: https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions.xml
- Changelog JSON feed: https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions/changelog.json
- Trust report (JSON): https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions.json
- HTML version of this page: https://verifymcp.io/servers/pipeworx-io-nc-medical-exclusions/pipeworx-mcp-nc-medical-exclusions