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ALABAMA · CARE PROGRAM

Assisted Living and Specialty Care Assisted Living

All employees of ADPH-licensed assisted living and specialty care (dementia) assisted living facilities; the two rule chapters screen identically.

ASSISTED LIVING · ON FILE
Registries named
8
Required
3
Expected
5
Screened by ezOIG
4 of 8
Rules checked
October 16, 2026

Required checks

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

  1. Alabama Certified Nurse Aide Registry

    Alabama Department of Public Health, Division of Health Care Facilities

    SCREENED BY EZOIG Checked against the published list of nurse aides with findings; certification is not verified
    WHEN
    AT HIRE Before hire, every employee
    BASIS
    Ala. Admin. Code r. 420-5-4-.04(3)(d), (4)(d); r. 420-5-20-.04(3)(d), (4)(d)

    An assisted living facility shall not hire an individual whose name is on the Alabama Department of Public Health Nurse Aide Abuse Registry.

    Read the source admincode.legislature.state.al.us

  2. Alabama Elder and Adult in Need of Protective Services Abuse Registry

    Alabama Department of Human Resources, Office of Adult Protective Services

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE Before hire; staff and volunteers with one-on-one contact hired on or after 1 January 2023
    BASIS
    Act 2022-161 (Shirley's Law) § 7, Ala. Code § 38-9G-1 et seq.; Ala. Admin. Code r. 660-5-41-.07

    A service provider shall query the Alabama Elder and Adult in Need of Protective Services Abuse Registry with regard to an individual who is an employee or prospective employee of the provider

    Read the source alison.legislature.state.al.us

  3. Alabama Board of Nursing License Lookup

    Alabama Board of Nursing

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, licensed or certified staff
    BASIS
    Ala. Admin. Code r. 420-5-4-.04(4)(b); r. 420-5-20-.04(4)(b)

    Verification of current certification or licensure, if applicable.

    Read the source admincode.legislature.state.al.us

Expected checks

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

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Federal exclusion bars federal program payment; few Alabama ALFs bill Medicaid

  2. Alabama Medicaid List of Suspended Providers (Provider Sanction List)

    Alabama Medicaid Agency, Program Integrity Division

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Binding only on Medicaid-enrolled facilities; standard practice

  3. Alabama Background Check (ABC) System

    Alabama Law Enforcement Agency

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE At hire
    BASIS
    No ADPH rule names it for staff; standard practice

  4. Alabama Sex Offender Registry (ALEA Community Information Center)

    Alabama Law Enforcement Agency

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire
    BASIS
    Standard practice for Alabama long-term care employers

  5. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice alongside the LEIE

Also required

Not registry lookups; ezOIG doesn't run these
  • Physical examination before any resident contact (Ala. Admin. Code r. 420-5-4-.04(3)(a))
  • TB evaluation no more than 30 days before resident contact (Ala. Admin. Code r. 420-5-4-.04(3)(b))
  • Vaccinations per current CDC guidelines (Ala. Admin. Code r. 420-5-4-.04(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.
Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.
Checked by request to the agency
The agency answers a written request or form rather than an online search.
Paid access
The agency charges for access, and ezOIG doesn't include it yet.

Guidance, not legal advice

This page summarizes ezOIG's research into Alabama's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Alabama Medicaid Agency or your own counsel before relying on it.

Screen for Alabama Assisted Living.

Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.

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