A disqualified provider is a person or an organization that has been excluded from participation in federal or State funded health care programs including but not limited to Medicare or Medicaid. Any products or services that a disqualified provider furnishes, orders, or prescribes are not eligible for payment under those programs. This payment prohibition extends to anyone who employs or contracts with the disqualified provider, as well as to any facility where the disqualified provider delivers services that might otherwise be reimbursable.
The links on this page will help providers determine whether the individuals they employ or contract with are excluded from the New Jersey Medicaid program. In addition, they provide information on individuals holding professional licenses in the State of New Jersey.