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DELAWARE · CARE PROGRAM

DDDS Lifespan Waiver (intellectual and developmental disabilities)

Staff of DDDS-authorized providers: neighborhood homes, community living arrangements, supported living, day habilitation, prevocational, supported employment, community participation and consultation; shared living screens the provider and every adult in the home.

DDDS WAIVER · ON FILE
Registries named
7
Required
5
Expected
2
Screened by ezOIG
5 of 7
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 Prior to hire through the BCC; current employees routinely (the manual sets no interval)
    BASIS
    DMAP DDDS Lifespan Waiver Provider Specific Manual §2.0 (Excluded Providers); DDDS Provider Standards §1.5.2.3

    To avoid CMP liability, health care entities need to routinely check the LEIE to ensure that new hires and current employees are not on the excluded list.

    Read the source medicaidpublications.dhss.delaware.gov

  2. Adult Abuse Registry

    Delaware Health and Social Services, Division of Health Care Quality

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE Prior to hire; adverse findings bar employment
    BASIS
    DDDS Provider Standards for HCBS §§1.5.2-1.5.3 (and the parallel section for each service; §3.1.1 for shared living); 11 Del.C. §8564

    The provider shall ensure that prior to hire all staff are screened through the Back Ground Check Center (BCC) to include: 1.5.2.1 Adult Abuse Registry 1.5.2.2 Sex Offender Registry 1.5.2.3 Office of Inspector General 1.5.2.4 Child Protection Registry

    Read the source dhss.delaware.gov

  3. Delaware Sex Offender Central Registry

    Delaware State Police, State Bureau of Identification

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Prior to hire; for shared living, every adult in the home
    BASIS
    DDDS Provider Standards for HCBS §1.5.2.2 (and parallel sections; §3.1.1.2 for shared living)

    The provider shall ensure that prior to hire all staff are screened through the Back Ground Check Center (BCC) to include: 1.5.2.1 Adult Abuse Registry 1.5.2.2 Sex Offender Registry 1.5.2.3 Office of Inspector General 1.5.2.4 Child Protection Registry

    Read the source dhss.delaware.gov

  4. Child Protection Registry

    Department of Services for Children, Youth and Their Families, Division of Family Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Prior to hire; adverse findings bar employment
    BASIS
    DDDS Provider Standards for HCBS §§1.5.2.4, 1.5.3; 11 Del.C. §8563

    The provider shall ensure that prior to hire all staff are screened through the Back Ground Check Center (BCC) to include: 1.5.2.1 Adult Abuse Registry 1.5.2.2 Sex Offender Registry 1.5.2.3 Office of Inspector General 1.5.2.4 Child Protection Registry

    Read the source dhss.delaware.gov

  5. DELPROS License Look-Up

    Delaware Division of Professional Regulation

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE Prior to hire, through the BCC, for staff who hold a licence; nurse consultants must be active Delaware RNs
    BASIS
    DDDS Provider Standards for HCBS §§1.5.2.5, 5.4.2.5 (and the parallel section for each service), §9.4.1

    The provider shall ensure that prior to hire all staff are screened through the Back Ground Check Center (BCC) to include: 5.4.2.1 Adult Abuse Registry 5.4.2.2 Sex Offender Registry 5.4.2.3 Office of Inspector General 5.4.2.4 Child Protection Registry 5.4.2.5 Division of Professional Regulation Registry

    Read the source dhss.delaware.gov

Expected checks

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

  1. Delaware Sanctioned Provider Report (Delaware Listing of Sanctioned Providers)

    Division of Medicaid & Medical Assistance, Program Integrity Unit

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Delaware Medicaid providers; DMMA publishes the list under Terminated Providers

    Read the source medicaid.dhss.delaware.gov

  2. 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 Delaware Medicaid providers

Also required

Not registry lookups; ezOIG doesn't run these
  • State and federal fingerprint criminal background check through the BCC before hire (DDDS Provider Standards §1.5.2.6; 16 Del.C. §1141 for licensed neighborhood homes)
  • 10-panel drug screen before the first day of work (DDDS Provider Standards §§1.5.2.7, 5.4.4)
  • Service letters from prior employers (DDDS Provider Standards §1.5.2.8; 19 Del.C. §708)
  • Tuberculin testing at hire (DDDS Provider Standards §1.5.4)
  • Shared living: TB test, drug screen and background checks for every adult in the home, no serious moving violations, references (DMAP DDDS Lifespan Waiver Manual §2.3)
  • Self-directed respite and personal care workers: background check in a system approved by DDDS (1915(c) waiver DE.0009, Appendix C-2)

Why some registries are not screened yet

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.

Guidance, not legal advice

This page summarizes ezOIG's research into Delaware'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 Division of Medicaid & Medical Assistance (DMMA), Delaware Health and Social Services or your own counsel before relying on it.

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