Excluded Providers

An excluded provider is an individual or entity that cannot bill or cause services to be billed to Medicare, Medicaid or NC Health Choice. DHHS works diligently to prevent excluded providers from participating in NC Medicaid and NC Health Choice to comply with federal regulations.

The North Carolina Medicaid Provider Termination and Exclusion list is updated monthly. The termination or exclusion is in effect until the provider is removed from this list.

The U.S. Department of Health and Human Services Office of the Inspector General maintains a national list of all individuals excluded from receiving Medicare and Medicaid reimbursement.

National List