Know what a managed-care roster actually supports — and which records need review
Medicaid programs receive provider rosters and network reports from managed-care entities. TrustNav preserves what each roster said at a point in time, checks exact provider identifiers against independent public records, shows what changed, and keeps unresolved conflicts visible.
The agency still makes every adequacy and program determination. TrustNav makes the underlying record easier to inspect and reproduce.
Relevant to managed-care directory and network review, including 42 CFR § 438.68 and External Quality Review (EQR) workflows.
Individual clinician names are withheld on every outbound surface — NPIs and license numbers are the public verification identifiers and stand in their place.
Every roster is dated and retained by vintage, so changes can be reviewed later rather than reconstructed from the current file.
Exact NPIs are checked against deactivation and exclusion sources, identity-matched — never name-matched. If a method is suspended or withdrawn, its findings stay out of the record: the Colorado roster licensure screening class is suspended today for exactly that reason.
Compare a roster against other dated program records and against parallel network submissions without deciding which representation is correct. Differences remain visible until the agency resolves them.
Every published figure can be reproduced by the agency or its reviewer. (The suspended class is the roster licensure screen whose findings were withdrawn in full on 2026-08-04; it does not run until its remediation is complete. A signed 2026-08-31 determination classifies the identity-resolution licence lens used in agency exhibits as distinct from that class.)
Read and verify the public evidence and sample records.
Apply the record to one program question, roster or review population and return a defined evidence package.
Re-run the same governed checks as new roster vintages arrive and surface only what changed or needs review — structured through an agency, EQRO, grant-funded, or other authorized program workstream.
Apply the same evidence method inside the program's existing review workflow and authorized data environment.
The public record is free. Program-specific review, recurring monitoring and private-data integration are scoped commercial engagements.
Public-health builds (maternal access, workforce observatory) can be structured through grant-funded workstreams, data-infrastructure subcontracts, or direct agency engagements.
The sample is a managed-care directory & network evidence record: a published roster cross-read against NPPES deactivation and OIG/SAM exclusion, with the suspended licensure screen shown as suspended. Open the managed-care sample → (synthetic values, no program or provider named); a real one renders from your program’s own roster. TrustNav’s broader public record — the statewide, non-Medicaid evidence layer that demonstrates the machinery — is at /record.
Only your agency makes regulatory or adequacy determinations. This record exists so that when it does, every underlying figure is already traceable to a named public source on a named date. It makes no compliance conclusion and no allegation.
Bring one roster and one question, and we walk the record it produces — every figure traced to a named public source on a named date.