CAQH SanctionsTrack
Automated healthcare provider sanctions monitoring across 500+ state and federal sources
About CAQH SanctionsTrack
CAQH SanctionsTrack is an automated, continuous sanctions monitoring solution designed for health plans, hospitals, and credentialing organizations that need to track provider licensure disciplinary actions across the United States. As a module within the CAQH ProView ecosystem, SanctionsTrack consolidates and electronically reports all provider sanctions and related license actions by continuously querying more than 500 state licensing boards, the OIG exclusion list, the OPM debarment list, and other federal sources. The platform automatically matches sanctions to individual providers registered in CAQH ProView and flags all sanctioned providers on your organization's roster on a daily basis. This eliminates the labor-intensive manual process of checking multiple licensing boards and federal databases individually, freeing credentialing staff to focus on review and evaluation rather than data collection and entry. SanctionsTrack enables flexible online searches and data extraction in multiple formats — by provider name, date range, or sanction type — through standard automated extracts, custom extracts, or direct provider searches exported as PDF files. All sanction information and board orders are stored electronically, reducing paper files and streamlining audit preparation. The solution helps organizations meet NCQA credentialing requirements for ongoing monitoring of license actions, sanctions, and Medicare/Medicaid exclusions. By ensuring that sanctioned providers are quickly identified and flagged, SanctionsTrack supports better network quality management and regulatory compliance for healthcare organizations of all sizes.
Pros & Cons
Pros
- Monitors 500+ state licensing boards and federal sources in one platform
- Daily automated flagging eliminates manual checking of individual boards
- Capped pricing at $30,000/year makes it predictable for multi-state plans
- Meets NCQA credentialing requirements for ongoing sanctions monitoring
- Integrates directly with CAQH ProView provider credentialing data
- Flexible search and export options (by name, date range, sanction type)
Cons
- Requires CAQH ProView participation — not a standalone product
- Per-state pricing can be expensive for plans operating in few states
- Limited public user reviews make it hard to evaluate independently
- No self-service trial or freemium option available
- Staff still needed to review and act on flagged sanctions
Key Features
Continuous Sanctions Monitoring
Queries 500+ state licensing boards and federal sources continuously for provider sanctions
Automatic Provider Matching
Matches sanctions to individual providers on your CAQH ProView roster automatically
Daily Flagging
Sanctioned providers are flagged daily for timely identification and action
OIG Exclusion List Monitoring
Monitors the Office of Inspector General exclusion list for Medicare/Medicaid exclusions
OPM Debarment Monitoring
Tracks Office of Personnel Management debarment list entries
Flexible Search
Search by provider name, date range, or specific sanction type
Standard Automated Extracts
Scheduled data extracts delivered automatically to your organization
Custom Data Extracts
Build custom extracts filtered to your specific monitoring needs
PDF Export
Export sanction records and board orders as PDF files
Electronic Document Storage
Stores all sanction information and board orders electronically, replacing paper files
NCQA Compliance Support
Meets NCQA credentialing requirements for ongoing monitoring of license actions and sanctions
CAQH ProView Integration
Seamlessly integrates with the CAQH ProView credentialing ecosystem
Pricing
- Continuous monitoring of 500+ state licensing boards
- Daily sanctions flagging on provider rosters
- Online search by provider name, date range, or sanction type
- Standard and custom data extracts
- Electronic storage of board orders
- NCQA compliance support
- All states covered
- All Per State features included
- Cap regardless of number of states
- Full federal source monitoring (OIG, OPM)
- PDF export of sanction records
- Integration with CAQH ProView
Best For
Multi-State Health Plan Monitoring
Health plans operating across multiple states use SanctionsTrack to consolidate sanctions monitoring into a single automated platform instead of manually checking each state board
Hospital Credentialing Compliance
Hospital systems ensure their credentialed providers are not sanctioned by leveraging daily automated checks against 500+ sources
NCQA Accreditation Preparation
Credentialing organizations use SanctionsTrack to meet NCQA standards for ongoing monitoring of license actions, sanctions, and exclusions
Medicare/Medicaid Exclusion Screening
Compliance teams screen provider rosters against OIG and OPM lists to prevent billing for services rendered by excluded providers
Network Quality Management
Network management teams quickly identify and address sanctioned providers to maintain roster integrity and patient safety
Audit Readiness
Organizations maintain electronic records of all sanctions and board orders for streamlined audit preparation and regulatory review
Ready to try CAQH SanctionsTrack?
Start using CAQH SanctionsTrack today and boost your productivity.
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