Medi-Cal Suspended and Ineligible Provider List

The dataset lists Medi-Cal healthcare providers suspended or deemed ineligible for program participation due to convictions, license loss, or Medicare sanctions. It is maintained by the California Department of Health Care Services and was last updated in March 2026. Row and column counts are not specified in the input.

Use Cases

• Identify providers flagged for suspension due to a felony conviction or misdemeanor involving fraud.
• Monitor entities excluded from the federal Medicare or Medicaid programs to enforce Medi-Cal compliance.
• Analyze patterns in provider suspensions related to loss or surrender of a license, certificate, or approval.
• Track providers subject to suspension for breaching a contractual agreement with the Department of Health Care Services.

Strengths

• Dataset is maintained by the State of California's Department of Health Care Services, an authoritative regulatory body.
• Legally mandated by California Welfare and Institutions Code sections 14043.6 and 14123, ensuring a formal collection process.
• Includes providers suspended from federal Medicare or Medicaid programs, offering cross-program enforcement data.

Limitations

• The sample size and total number of listed providers are unknown.
• Data may be temporally stale for providers who have been reinstated but not yet updated in the list.
• Geographic coverage is limited to providers participating in California's Medi-Cal program.

Provenance

Source

California Department of Health Care Services (DHCS).

Collection Method

Mandated collection and publication under state law based on legal and administrative actions.

Freshness

Last updated on 2026-03-23.

Geography

United States, specifically California's Medi-Cal program.