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HAWAII · CARE PROGRAM

DD Adult Foster Homes and DD Domiciliary Homes

Applicants, certified and substitute caregivers, adult household members and direct patient access employees of adult foster homes certified under HAR 11-148.1 and domiciliary homes licensed under HAR 11-89; waiver-funded caregivers also meet the I/DD waiver checks.

DD HOMES · ON FILE
Registries named
8
Required
7
Expected
1
Screened by ezOIG
2 of 8
Rules checked
October 15, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    AT HIRE Before hire, then annually (Medicaid providers)
    BASIS
    Med-QUEST Division, Medicaid Provider Exclusion/Reinstatement List (updated 09/10/2026), provider responsibilities; same wording on the list's web page

    Any provider participating or applying to participate in the Medicaid program must search Hawaii’s excluded provider list monthly and the LEIE annually to determine if any existing employee or contractor has been excluded from participation in the Medicaid program.

    Read the source medquest.hawaii.gov

  2. Medicaid Provider Exclusion/Reinstatement List

    Department of Human Services, Med-QUEST Division

    NOT SCREENED YET The registry blocks automated access
    WHEN
    MONTHLY Before hire, then monthly (Medicaid providers)
    BASIS
    Med-QUEST Division, Medicaid Provider Exclusion/Reinstatement List (updated 09/10/2026), provider responsibilities; same wording on the list's web page

    Any provider participating or applying to participate in the Medicaid program must search Hawaii’s excluded provider list monthly and the LEIE annually to determine if any existing employee or contractor has been excluded from participation in the Medicaid program.

    Read the source medquest.hawaii.gov

  3. Adult Protective Services Central Registry

    Department of Human Services, Adult Protective and Community Services Branch

    NOT SCREENED YET Not open to the public
    WHEN
    AT HIRE Before certification or licensure, then with each renewal; run by DOH or its designee
    BASIS
    HAR § 11-89-3(d); HAR § 11-148.1-46(c); HRS § 321-15.2

    The caregiver and administrator shall also complete clearances from: (1) Adult and child abuse and neglect registry (2) Hawaii criminal justice data center - Federal bureau of investigation fingerprinting clearance.

    Read the source health.hawaii.gov

  4. Child Welfare Services Child Abuse and Neglect Records

    Department of Human Services, Child Welfare Services

    NOT SCREENED YET Not open to the public
    WHEN
    AT HIRE Before certification or licensure, then an annual name inquiry; run by DOH or its designee
    BASIS
    HAR § 11-89-3(d); HAR § 11-148.1-46(c); HRS § 321-15.2

    The caregiver and administrator shall also complete clearances from: (1) Adult and child abuse and neglect registry (2) Hawaii criminal justice data center - Federal bureau of investigation fingerprinting clearance.

    Read the source health.hawaii.gov

  5. Sex Offender and Other Covered Offender Registry

    Department of the Attorney General, Hawaii Criminal Justice Data Center

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire or before certification; Hawaii and any other state where the person previously resided
    BASIS
    HRS § 321-15.2(a) (background check includes sex offender registry records; healthcare facility includes DD domiciliary homes and adult foster homes for individuals with developmental disabilities); HAR § 11-148.1-2

    (4) Sex offender registry records;

    Read the source data.capitol.hawaii.gov

  6. Hawaii State Nurse Aide Registry

    Department of Commerce and Consumer Affairs, Professional and Vocational Licensing Division (operated by Prometric)

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire or before certification; Hawaii and any other state where the person previously resided
    BASIS
    HRS § 321-15.2(a) (background check includes the certified nurse aide registry); HAR § 11-148.1-2

    (5) Certified nurse aide registry for information or findings pursuant to section 457A-3; and

    Read the source data.capitol.hawaii.gov

  7. eCrim (Hawaii Adult Criminal Conviction Information)

    Department of the Attorney General, Hawaii Criminal Justice Data Center

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE In each of the first two years of employment, then every two years; the check at hire is the fingerprint check
    BASIS
    HAR § 11-106-5(b)

    Healthcare providers shall make a name inquiry into the state's criminal history records on employees or contractors for each of the first two years of employment or contract and biennially thereafter to ensure continued compliance with background check standards.

    Read the source health.hawaii.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Medicaid providers; no Hawaii rule names SAM

Also required

Not registry lookups; ezOIG doesn't run these
  • HCJDC and FBI fingerprint clearance for the caregiver and administrator of a DD domiciliary home (HAR § 11-89-3(d))
  • Background checks by the department or its designee on each applicant, certified and substitute caregiver, adult household member and direct patient access employee of an adult foster home (HAR § 11-148.1-46(c))
  • Adult abuse, child abuse, criminal history, sex offender and nurse aide registry records of any other state where the person previously resided (HRS § 321-15.2(a))
  • Two character references for the DD domiciliary home caregiver and administrator (HAR § 11-89-3(c))

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
The registry's terms forbid automated searches
The registry's terms, or the law behind it, rule out automated or third-party searches, so ezOIG doesn't run them.
Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.
Not open to the public
The agency doesn't publish it. Only the agency, or employers it authorizes, can check it.

Guidance, not legal advice

This page summarizes ezOIG's research into Hawaii's rules for this program, checked against the regulations as of October 15, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Department of Human Services, Med-QUEST Division or your own counsel before relying on it.

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