New Hampshire Exclusion List
Overview and guidance for this database. Use SecureEPLS to screen quickly and confidently.
The New Hampshire Medicaid program wants to ensure that the best medical professionals participate in the
Medicaid program. When the program finds good reason that a provider should no longer be eligible to
participate, they are placed on a list of terminated providers.
- Why it matters: Services ordered, referred, or rendered by excluded parties are
non‑payable; employing or contracting with excluded providers risks recoupment and civil monetary penalties.
- What to verify: Legal name and aliases, NPI/Medicaid ID, license/board status, date of
birth (if available), last known city/state, and exclusion effective/end dates.
- Update cadence: Typically updated monthly by the state. Record the file’s “as of” date and
screen at hire and monthly thereafter.
- Compliance tips:
- Cross‑check with OIG LEIE and SAM.gov and retain dated evidence of each search.
- Add system blocks to prevent ordering/prescribing by excluded providers.
- Document remediation steps for positive matches (schedule removal, claim holds, notifications).
<< Back to Exclusion Database List
