US Hawaii Medicaid Exclusions and Reinstatements

The State of Hawai'i Department of Human Services maintains a list of providers who have been excluded from the state program.

An excluded provider is an individual or entity that is not allowed to receive reimbursement for providing Medicare and Medicaid services in any capacity, even if they are not on this listing by the Med-QUEST Division.

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.

Any provider participating or applying to participate in the Medicaid program must search Hawaiʻi’s excluded provider list monthly and the List of Excluded Individuals and Entities (LEIE) on an annual basis to determine if any existing employee or contractor has been excluded from participation in the Medicaid program. In addition, any provider participating or applying to participate in the Medicaid program must search both lists prior to hiring staff to ensure that any potential employees or contractors have not been excluded from participating in the Medicaid program.