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DISTRICT OF COLUMBIA · CARE PROGRAM

EPD Waiver In-Home Services (Homemaker, Chore Aide, Respite)

Direct care staff of the home care agencies and licensed housekeeping businesses that deliver Elderly and Persons with Physical Disabilities Waiver services under 29 DCMR Chapter 42; waiver PCA, adult day health and assisted living follow their own programs.

EPD WAIVER · ON FILE
Registries named
5
Required
3
Expected
2
Screened by ezOIG
4 of 5
Rules checked
October 16, 2026

Required checks

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

  1. National Sex Offender Public Website

    U.S. Department of Justice

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Within 45 days before hire or contract: all direct-access staff of home care agencies, and employees of housekeeping businesses who give direct care in the beneficiary's home (29 DCMR § 4222.6)
    BASIS
    22-B DCMR § 4701.1(c); waiver providers with direct care staff in the home must show compliance with the Act (29 DCMR § 4222.6)

    The Department of Health and those facilities identified pursuant to § 4701.1 verify by means of a check, that the person’s name is not on the Dru Sjodin National Sex Offender Public Website coordinated by the United States Department of Justice, or the Nurse Aide Abuse Registry of the District of Columbia or such registry in the state or states in which the person has lived or worked; and

    Read the source dcregs.dc.gov

  2. Certified Nurse Aide Abuse Registry

    DC Health, Board of Nursing

    SCREENED BY EZOIG Read with the nurse aide registry check
    WHEN
    AT HIRE Before hire or contract; also the registry of any other state where the person lived or worked (22-B DCMR § 4701.1(c))
    BASIS
    D.C. Code § 44-552(g); 29 DCMR § 4222.6

    No facility shall employ or contract with any unlicensed person who is not a licensed professional if that person’s name appears on the Nurse Aide Abuse Registry maintained pursuant to regulations promulgated by the Mayor.

    Read the source code.dccouncil.gov

  3. Licensure Lookup Portal (Verify a License)

    DC Health, Health Regulation and Licensing Administration

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE At hire: Home Health Aide certification for respite staff, and for homemakers and chore aides employed by home care agencies (29 DCMR §§ 4233.3, 4235.3)
    BASIS
    29 DCMR §§ 4231.2, 4233.3, 4235.3

    a home care agency providing respite services shall require that respite staff be certified as a Home Health Aide in accordance with the District of Columbia Health Occupations Revisions Act of 1985

    Read the source dcregs.dc.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 and monthly
    BASIS
    42 CFR 1001.1901 bars Medicaid payment for services by excluded people and CMS SMDL #09-001 asks for monthly checks; no DC rule found names the check for staff; DHCF's Provider Self-Audit Protocol lists exclusion checks on all staff among basic controls

    Next, see if basic operations controls are in place and working. This includes such controls as: Criminal, exclusion, suspension, and debarment checks on all staff;

    Read the source dhcf.dc.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 DC Medicaid providers: DHCF's Provider Self-Audit Protocol lists exclusion, suspension and debarment checks on all staff among basic controls; no DC rule names SAM.gov

    Next, see if basic operations controls are in place and working. This includes such controls as: Criminal, exclusion, suspension, and debarment checks on all staff;

    Read the source dhcf.dc.gov

Also required

Not registry lookups; ezOIG doesn't run these
  • Two professional references checked for all staff entering the home (29 DCMR § 4222.5)
  • Criminal background check under the Act (29 DCMR §§ 4222.6, 4233.2, 4235.2); no employee convicted of a felony or of a crime of abuse, neglect, violence, theft or larceny may serve a beneficiary (§ 4222.7)
  • Fingerprint or live-scan criminal background check through MPD and the FBI within 45 days before hire, repeated every 4 years unless the person is enrolled in rap back (22-B DCMR §§ 4701.1(a), 4701.2, 4701.4; D.C. Code § 44-552)
  • CPR certification for homemakers (29 DCMR § 4233.2); eight hours of annual training for housekeeping-business staff (§§ 4233.4, 4235.4)

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.

Guidance, not legal advice

This page summarizes ezOIG's research into District of Columbia'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 Department of Health Care Finance (DHCF) or your own counsel before relying on it.

Screen for District of Columbia EPD Waiver.

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

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