@pipeworx/il-medical-exclusions

Connect: https://pipeworx.io/mcp — every tool in the catalog, including @pipeworx/il-medical-exclusions’s. Install: one-click buttons

Connect to just the @pipeworx/il-medical-exclusions pack

https://gateway.pipeworx.io/il-medical-exclusions/mcp — only @pipeworx/il-medical-exclusions’s own tools, nothing else in the catalog.

No MCP client? Skip the connection: POST https://gateway.pipeworx.io/v1/tools/search_packs {"query":"..."} to find a tool below, GET /v1/tools/<name> for its schema, POST the same URL with arguments for the data — see For AI agents.

Tools: 2

Illinois Medicaid provider sanctions screening. Check a provider by name, NPI or license number against the Illinois Department of Healthcare and Family Services (HFS) Office of Inspector General Provider Sanctions list, the state-level counterpart to the federal HHS OIG LEIE (leie pack) and sibling of tx-medical-exclusions, ny-omig-exclusions, ca-medical-exclusions and fl-medical-exclusions.

Tools

  • il_medical_check_exclusion(name?, npi?, license?, limit?): screens a provider. An NPI or license match is an identification; a name match, even an exact one, is a candidate lead only (the list publishes no date of birth). The response leads with counts by action type, then the matches. Each match carries the action type (Terminated, Barred, Exclusion, Suspended, Voluntary Withdrawal), the action date, provider type and any affiliated business. A no-match names the filters tried.
  • il_medical_exclusion_coverage(year? | start_date? end_date?): totals by action type, NPI and license coverage, oldest and newest action date and capture date. With year or a date range it counts actions in that window over the whole list, split by action type. The counted field is action_date (HFS’s Action Date), named in the response.

Auth

Keyless.

Data source

Illinois Department of Healthcare and Family Services, Office of Inspector General: Provider Sanctions list (3,273 rows at capture, 1979 to date). Entities and individuals disenrolled from the Medical Assistance Program, including providers who voluntarily withdrew. data_as_of on every response is the date the data was last refreshed.

What the list does and does not say

  • No per-record reason text and no date of birth are published.
  • No reinstatement field is published, so the pack does not label anyone “currently sanctioned”; it reports what HFS still lists at data_as_of.
  • affiliation is the business HFS ties a sanctioned individual to, when it records one (473 rows).

Personal data

HFS also publishes a street address, city, state and zip for many rows. They are dropped at ingest and are not stored or served anywhere in this pack. A test asserts every baked row carries only the seven fields above. This follows the standing rule for state exclusion packs: name plus the sanction record plus the date, never an address for an individual.

How the data is served

The publisher serves the list only through a search portal that needs a session and an anti-forgery token before it will page, so a per-request proxy would be a three-step handshake against a government site on every call. The list is copied by scripts/bake-index.mjs, registered in workers/gateway/src/pack-baked-indexes.json, uploaded to KV at deploy and injected as args._bakedIndex (never a module-scope import; fleet #2754). A missing or malformed injection throws loudly rather than answering “not found”.

Refresh: re-run node mcps/il-medical-exclusions/scripts/bake-index.mjs and commit; there is no scheduled refresh yet, same as the sibling baked packs.

Tools

  • il_medical_check_exclusion — Is this healthcare provider sanctioned or excluded from the Illinois Medicaid program? Screens a person or business name, an NPI, and/or a license number against the Illinois Department of Healthcare
  • il_medical_exclusion_coverage — What the Illinois HFS OIG Provider Sanctions list covers and how current it is: total rows, counts by action type (Terminated, Barred, Exclusion, Suspended, Voluntary Withdrawal), how many carry an NP

Tools

  • il_medical_check_exclusion — Is this healthcare provider sanctioned or excluded from the Illinois Medicaid program? Screens a person or business name, an NPI, and/or a license number against the Illinois Department of Healthcare
  • il_medical_exclusion_coverage — What the Illinois HFS OIG Provider Sanctions list covers and how current it is: total rows, counts by action type (Terminated, Barred, Exclusion, Suspended, Voluntary Withdrawal), how many carry an NP

Regenerated from source · build October 22, 2026