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US Kentucky Terminated and Excluded Providers

Medical providers terminated or excluded from Kentucky's Medicaid program.

This dataset contains individuals and companies that have been terminated from Kentucky's Medicaid Program. The following text from their website explains the conditions and implications of such terminations or exclusions, including the restrictions on reimbursement, re-enrollment criteria, and responsibilities for Medicaid providers in screening employees and contractors:

An individual or entity terminated or excluded from participating in the Kentucky Medicaid program will not be reimbursed for services provided in any capacity or in any category under the Kentucky Medicaid program.

The termination or exclusion remains in effect until the provider is removed from this list. Where applicable and when determined, an end date is provided. It is the provider's responsibility to notify Kentucky Medicaid if the circumstances change which led to the termination and/or exclusion. A provider terminated by the Department for Medicaid Services who meets the requirements of 907 KAR 1:671 and 907 KAR 1:672 may apply for re-enrollment in the Kentucky Medicaid program.

Any provider participating or applying to participate in the Kentucky Medicaid program must search the list of excluded individuals and entities and the System for Award Management on a monthly basis to determine if any existing employee or contractor has been terminated or excluded from participation in the Kentucky Medicaid program or has been nationally excluded from Medicare or Medicaid. Also, any provider participating or applying to participate in the Kentucky Medicaid program must search all lists prior to hiring staff to ensure that any potential employee or contractor has not been terminated and/or excluded from participating in the Medicare or Medicaid program.

Please note that the Kentucky Medicaid Program only lists providers terminated or excluded from the Kentucky Medicaid program. HHS/OIG-excluded individuals and entities are not allowed to receive reimbursement for providing Kentucky Medicaid services in any capacity, even if they are not on the Kentucky Medicaid list.

Data overview

Entities:
Total700
Searchable350
Targets348
Entity types:
People238
Companies112
Countries:
United States348
Publisher:Kentucky Department for Medicaid Services (DMS) · United States

Kentucky Medicaid is a state and federal program authorized by Title XIX of the Social Security Act to provide health care for eligible, low-income populations. These populations include children, low-income families, pregnant women, the aged and the disabled.

Collections:in Debarred Companies and Individuals · OpenSanctions Default
Information:www.chfs.ky.gov
Source data:www.chfs.ky.gov · XLSX
Coverage:added · update frequency: daily
Last processed:2024-12-10 06:30:03
Last change:

Bulk download

Downloads contain the full set of entities contained in this dataset. You can fetch a simplified tabular form, or detailed, structured data in JSON format. Updated files will be provided once a day at the same location.

File nameExport typeSize
entities.ftm.jsonFollowTheMoney entities347.93 KB
names.txtTarget names text file6.54 KB
senzing.jsonSenzing entity format196.08 KB
source.xlsxSource data43.56 KB
targets.nested.jsonTargets as nested JSON352.63 KB
targets.simple.csvTargets as simplified CSV91.29 KB

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Using the API

You can query the data in this dataset via the application programming interface (API) endpoints below. Please read the introduction for documentation and terms of service.

Use the Reconciliation API in OpenRefine:
For full-text search, use the /search endpoint:
For entity matching, use the /match endpoint:

Recent additions

The following targeted entities have been added to this data source most recently:

AddedNameTypeCountries
Nichols ApothecaryCompanyUnited States
Bell Medical BillingCompanyUnited States
Bell Medical BillingCompanyUnited States
Bell Medical BillingCompanyUnited States
Upper Levisa Clinic PharmacyCompanyUnited States
Bell Medical BillingCompanyUnited States
Bell Medical BillingCompanyUnited States
Bell Medical BillingCompanyUnited States
Anna Behavioral ServicesCompanyUnited States
Joshua AnnaPersonUnited States
Northern Kentucky Center for Pain Relief, LLCCompanyUnited States
Timothy EhnPersonUnited States
Marcella WrightPersonUnited States
Joshua KadetzPersonUnited States
Stephen L. Edge MDPersonUnited States