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Exclusions are imported monthly and matched to the Providers’ Profile as Exact or Possible matches. Exclusions that match by NPI number, or by full name and address, are Exact matches.
Enter an NPI number, license number, or provider name in the search field below to search the exclusions.
Alternatively, you can also search the Providers.
Remove the State filter to search all State Exclusion Lists, OIG Exclusions, SAM Debarments, FDA Debarments, and Clinical Investigators—Disqualification Proceedings—simultaneously!
West Virginia Exclusion Screening Requirements
The HHS Office of Inspector General (HHS-OIG) has the authority to exclude individuals and entities from participation in Medicare, Medicaid, Children’s Health Insurance Program (CHIP), and all Federal health care programs as defined in section 1128B(f) of the Social Security Act (the Act).
Federal regulations require State Plans for Medical Assistance establish and implement statewide controls to safeguard against unnecessary or inappropriate utilization of healthcare services and payments.
The West Virginia Department of Human Services Bureau of Medical Services is responsible for identifying, preventing, and prosecuting fraud, abuse, and misuse in the public healthcare programs.
To ensure existing employees or contractors, and new hires have not been excluded from participation in the Medicaid program, providers participating or applying to participate in the Medicaid program must search the following exclusion lists monthly:
- West Virginia Provider Exclusions and Terminations List
- Health & Human Services (HHS) Office of Inspector General (OIG) List of Excluded Individuals and Entities (LEIE)
- General Services Administration (GSA) System for Award Management (SAM)
Excluded individuals or entities, even if they are not on the State Exclusion List, are excluded from participating in and are not allowed to receive reimbursement for providing Medicare, Medicaid, or CHIP services in any capacity.
West Virginia Primary Source License Lookup
- West Virginia Counselors License Lookup
- West Virginia Dental License Lookup
- West Virginia Dietitians License Lookup
- West Virginia Imaging & Radiation Therapy License Lookup
- West Virginia Licensed Practical Nurses License Lookup
- West Virginia Massage Therapy License Lookup
- West Virginia Medical License Lookup
- West Virginia Occupational Therapy License Lookup
- West Virginia Optometry License Lookup
- West Virginia Osteopathic Medicine License Lookup
- West Virginia Pharmacy License Lookup
- West Virginia Psychologist License Lookup
- West Virginia Speech-Language Pathology and Audiology License Lookup
- West Virginia Veterinary Medicine License Lookup
West Virginia Disciplinary Actions
- West Virginia Chiropractic Disciplinary Actions
- West Virginia Dietitians Disciplinary Actions
- West Virginia Dental Disciplinary Actions
- West Virginia Imaging & Radiation Therapy Disciplinary Actions
- West Virginia Massage Therapy Disciplinary Actions
- West Virginia Medical Disciplinary Actions
- West Virginia Nursing Home Administrators Disciplinary Actions
- West Virginia Occupational Therapy Disciplinary Actions
- West Virginia Optometry Disciplinary Actions
- West Virginia Osteopathic Medicine Disciplinary Actions
- West Virginia Pharmacy Disciplinary Actions
- West Virginia Psychologists Disciplinary Actions
- West Virginia Speech-Language Pathology and Audiology Disciplinary Actions
- West Virginia RN Disciplinary Actions
- West Virginia Veterinary Medicine Disciplinary Actions
West Virginia License Rosters
- West Virginia Acupuncture License Roster
- West Virginia Chiropractic License Roster
- West Virginia Medical License Roster
- West Virginia Nursing Home Administrators License Roster
- West Virginia Podiatric License Roster
- West Virginia Physician Assistants License Roster
- West Virginia RN License Roster
- West Virginia Veterinarians License Roster
- West Virginia Veterinarian Relief Workers License Roster
- West Virginia Registered Veterinary Technicians License Roster
- West Virginia Certified Animal Euthanasia Technicians License Roster
West Virginia Licensing Boards
- West Virginia Acupuncture Board
- West Virginia Board of Chiropractic Examiners
- West Virginia Board of Examiners in Counseling
- West Virginia Board of Dentistry
- West Virginia Medical Imaging & Radiation Therapy Technology Board of Examiners
- West Virginia Board of Licensed Dietitians
- West Virginia State Board of Examiners for Licensed Practical Nurses
- West Virginia Massage Therapy Board
- West Virginia Board of Medicine
- West Virginia Nursing Home Administrators Licensing Board
- West Virginia Board of Occupational Therapy
- West Virginia Board of Optometry
- West Virginia Board of Osteopathic Medicine
- West Virginia Board of Pharmacy
- West Virginia Board of Examiners of Psychologists
- West Virginia Board of Examiners for Speech-Language Pathology and Audiology
- West Virginia RN Board
- West Virginia Board of Veterinary Medicine
