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ALABAMA · CARE PROGRAM

Waiver In-Home Services (E&D and SAIL Waivers)

Direct service staff of personal care, homemaker, companion, respite and skilled nursing agencies under the E&D and SAIL waivers; both call for a background check that includes the sex offender registry and the Nurse Aide Registry.

WAIVER IN-HOME · ON FILE
Registries named
8
Required
6
Expected
2
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. 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 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
    Elderly and Disabled Waiver (AL.0068.R08.00) Appendix C-2-a; Ala. Admin. Code r. 560-X-36-.04 (workers must meet the approved waiver's qualifications)

    National background checks are required for direct service provider employees who operate within the State of Alabama and who either provide direct services to the participant and/or who have access to client records. The state background checks are conducted by the provider agency and also include a reference check with previous employers, sex offender registry, and the Nurse/Aid Registry.

    Read the source medicaid.alabama.gov

  4. 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 At hire
    BASIS
    Elderly and Disabled Waiver (AL.0068.R08.00) Appendix C-2-a; Ala. Admin. Code r. 560-X-36-.04 (workers must meet the approved waiver's qualifications)

    National background checks are required for direct service provider employees who operate within the State of Alabama and who either provide direct services to the participant and/or who have access to client records. The state background checks are conducted by the provider agency and also include a reference check with previous employers, sex offender registry, and the Nurse/Aid Registry.

    Read the source medicaid.alabama.gov

  5. Alabama Board of Nursing License Lookup

    Alabama Board of Nursing

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, nurses; again at each renewal
    BASIS
    Elderly and Disabled Waiver (AL.0068) Appendix C-1/C-3, Skilled Nursing

    Nurses (RN and LPN) employed by the Home Care Agency must have a valid license to practice nursing in the state of Alabama issued by the Alabama Board of Nursing

    Read the source medicaid.alabama.gov

  6. 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
    The waiver requires a national background check (see other) and names no Alabama-only search; Alabama employers commonly run ABC alongside it

  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
    BASIS
    Shirley's Law covers community-based services for vulnerable adults; in-home agencies not named

Also required

Not registry lookups; ezOIG doesn't run these
  • National background check at hire for direct service staff (E&D Waiver Appendix C-2-a; also the SAIL waiver's 2025 renewal draft)
  • Reference check with previous employers (E&D Waiver Appendix C-2-a)
  • TB testing under Alabama Medicaid policy (E&D Waiver Appendix C-1/C-3)
  • Initial orientation and at least 12 hours of in-service training a year for personal care workers (E&D Waiver Appendix C-1/C-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 Waiver In-Home.

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

Start a trial with Alabama Waiver In-Home preselected All Alabama programs