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DELAWARE · CARE PROGRAM

Skilled and Intermediate Care Nursing Facility

Everyone working in the facility, including agency, temporary and contract staff (16 Del.C. §1141; 16 DE Admin Code 3201, 3105).

NURSING FACILITY · ON FILE
Registries named
8
Required
4
Expected
4
Screened by ezOIG
5 of 8
Rules checked
October 15, 2026

Required checks

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

  1. Adult Abuse Registry

    Delaware Health and Social Services, Division of Health Care Quality

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE Before hire; conditional hire allowed in exigent circumstances once the check is requested
    BASIS
    11 Del.C. §8564(c); 29 Del.C. §7971(b)(1); 16 DE Admin Code 3201 §5.5.5

    No health-care service provider, nursing home or similar facility, or child care facility shall hire any person seeking employment without first checking the Adult Abuse Registry.

    Read the source delcode.delaware.gov

  2. 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 Before hire; conditional hire allowed in exigent circumstances once the check is requested
    BASIS
    11 Del.C. §8563(a)(2), (b)

    “Health-care facility” means any custodial or residential facility where health, nutritional or personal care is provided for persons, including nursing homes, hospitals, home health-care facilities and adult day-care facilities. ... (b) No employer who operates a health-care facility may hire any person seeking employment without requesting and receiving a Child Protection Registry check

    Read the source delcode.delaware.gov

  3. Delaware CNA Registry (State Nurse Aide Registry)

    Delaware Health and Social Services, Division of Health Care Quality (hosted by Prometric)

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Before anyone serves as a nurse aide, plus every other state registry believed to hold the person
    BASIS
    42 CFR 483.35(d)(4)-(5); 42 CFR 483.12(a)(3)(ii); 16 DE Admin Code 3220 §2.2.1

    Before allowing an individual to serve as a nurse aide, a facility must receive registry verification that the individual has met competency evaluation requirements

    Read the source ecfr.gov

  4. DELPROS License Look-Up

    Delaware Division of Professional Regulation

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE At hire for licensed staff; licence number and expiry kept on file
    BASIS
    42 CFR 483.12(a)(3)(iii); 16 DE Admin Code 3201 §5.5.7

    Not employ or otherwise engage individuals who— ... (iii) Have a disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property.

    Read the source ecfr.gov

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 (pulled by the Background Check Center) and monthly
    BASIS
    BCC pulls the OIG list at hire (DHCQ); monthly rescreening is CMS guidance (SMDL #09-001), not a Delaware rule

    Read the source dhss.delaware.gov

  2. 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

  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 At hire (pulled by the Background Check Center)
    BASIS
    Pulled by the mandatory Background Check Center (DHCQ); no rule names it for this program

    Read the source dhss.delaware.gov

  4. 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
  • Fingerprint-based SBI and FBI criminal history through the DHSS Background Check Center before hire, or conditional hire for up to 60 days once fingerprinted (16 Del.C. §1141; 29 Del.C. §7972; 16 DE Admin Code 3105)
  • Delaware rap-back on everyone on the BCC Master List; a new fingerprint check when the last one is 3 or more years old (16 DE Admin Code 3105 §5)
  • Pre-employment drug screen (16 Del.C. §1142)
  • Service letters from prior employers (19 Del.C. §708; 16 DE Admin Code 3105 §7)
  • TB screening, annual influenza vaccination or refusal, and COVID-19 test results in personnel records (16 DE Admin Code 3201 §5.5)

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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