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Hawaii Exclusion List

Overview and guidance for this database. Use SecureEPLS to screen quickly and confidently.

Hawaii excluded individuals and entities are listed according to the type of provider they were at the time of exclusion; however, they are excluded from participating in providing services in the Medicaid program in all categories of service and in any capacity. The exclusion remains in effect until they are removed from this list.

  • 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).
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