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ALABAMA · CARE PROGRAM

Intellectual Disabilities Waivers (ID, LAH and CWP)

Staff of ADMH-certified providers, including group homes and day and in-home supports, and self-directed workers.

IDD WAIVERS · ON FILE
Registries named
7
Required
4
Expected
3
Screened by ezOIG
3 of 7
Rules checked
October 16, 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
    MONTHLY At hire and monthly
    BASIS
    Alabama Medicaid Provider Manual ch. 7, § 7.3.1; Alabama Medicaid Agency, Suspended Providers page

    Any provider participating or applying to participate in the Medicaid program must search Medicaid’s Exclusion List, the List of Excluded Individuals and Entities (LEIE), and the System for Award Management (SAM) website on a monthly basis to determine if any existing employee or contractor has been excluded from participation in the Medicaid program.

    Read the source medicaid.alabama.gov

  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
    Alabama Medicaid Provider Manual ch. 7, § 7.3.1; Alabama Medicaid Agency, Suspended Providers page

    Any provider participating or applying to participate in the Medicaid program must search Medicaid’s Exclusion List, the List of Excluded Individuals and Entities (LEIE), and the System for Award Management (SAM) website on a monthly basis to determine if any existing employee or contractor has been excluded from participation in the Medicaid program.

    Read the source medicaid.alabama.gov

  3. 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 working with waiver participants; every provider staff member and self-directed worker
    BASIS
    ID Waiver AL.0001.R10.00 and LAH Waiver AL.0391.R05.00 (Oct 1, 2025) Appendix C-2-b; Act 2022-161 (Shirley's Law), Ala. Code § 38-9G-1 (group homes)

    The Alabama Department of Human Resources (ADHR) is responsible for maintaining the abuse registry. Alabama Code 38-9G-1. The Alabama Department of Mental Health Developmental Disabilities Division (ADMH-DDD) requires all staff members working at contracted provider agencies and all self-directed care workers be screened prior to working with waiver participants.

    Read the source medicaid.alabama.gov

  4. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Alabama Medicaid Provider Manual ch. 7, § 7.3.1; Alabama Medicaid Agency, Suspended Providers page

    Any provider participating or applying to participate in the Medicaid program must search Medicaid’s Exclusion List, the List of Excluded Individuals and Entities (LEIE), and the System for Award Management (SAM) website on a monthly basis to determine if any existing employee or contractor has been excluded from participation in the Medicaid program.

    Read the source medicaid.alabama.gov

Expected checks

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

  1. Alabama Background Check (ABC) System

    Alabama Law Enforcement Agency

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE At hire
    BASIS
    CWP Appendix C-2-a has background checks cover the employer's local vicinity and state; ID and LAH call for a national check (see other)

  2. 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 ADMH-certified providers

  3. Alabama Board of Nursing License Lookup

    Alabama Board of Nursing

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, nurses
    BASIS
    Standard practice where nurses are employed

Also required

Not registry lookups; ezOIG doesn't run these
  • National criminal background check for direct care staff, verified at certification and at least every two years (ID and LAH Waiver Appendix C-2-a)
  • Statewide and national criminal background clearance for executive officers and owners (ID, LAH and CWP Waiver Appendix C-2-a)
  • CWP direct care staff: local law enforcement check plus a statewide or national check depending on residence and work history (CWP Waiver Appendix C-2-a)
  • TB skin test for staff with direct consumer contact, and background check documentation in the personnel record (Ala. Admin. Code r. 580-3-25-.03(3))

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 IDD Waivers.

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

Start a trial with Alabama IDD Waivers preselected All Alabama programs