US Michigan Medicaid Sanctioned Provider List

The Michigan Department of Health and Human Services (MDHHS) maintains a list of providers who have been sanctioned from participating in the Michigan Medicaid program.

Pursuant to Section 1128 and Section 1902(a)(39) of the Social Security Act, the Medicaid Program will not reimburse a provider for any services or items that were rendered or ordered/prescribed by a sanctioned (e.g., suspended, excluded) provider. The effect of the provider's sanction precludes them from furnishing, ordering, or prescribing services or items to any Medicaid beneficiary. Claims for services/items rendered/ordered/prescribed by a sanctioned provider with dates of service or dispensing after the effective date of the sanction, will be rejected or disallowed if discovered during a post-payment review. Refills of prescriptions written by a sanctioned provider must not be dispensed beyond the effective date of the sanction letter. Claims for services/items rendered/ordered/prescribed by a provider for whom sanctions have been removed will be honored retroactively to the date the sanction ended.