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GEORGIA · CARE PROGRAM

Structured Family Caregiving (EDWP)

The primary caregiver and health coaches of an enrolled Structured Family Caregiving provider, and owners with 5% or more of the provider.

SFC · ON FILE
Registries named
4
Required
3
Expected
1
Screened by ezOIG
4 of 4
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 Before hire and monthly, the provider's employees and contractors
    BASIS
    DCH Office of Inspector General, Georgia OIG Exclusions List (Medicaid Provider Responsibilities); Part I Policies and Procedures for Medicaid/PeachCare for Kids § 106.24 (HHS-OIG and EPLS monthly)

    Any provider participating or applying to participate in the Georgia Medicaid program, including managed care entities, must search the Georgia Medicaid Exclusion List, in addition to the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM) on a monthly basis to determine if any existing employee or contractor has been excluded

    Read the source dch.georgia.gov

  2. Georgia OIG Exclusions List (Georgia Medicaid Exclusion List)

    Georgia Department of Community Health, Office of Inspector General

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY Before hire and monthly, the provider's employees and contractors
    BASIS
    DCH Office of Inspector General, Georgia OIG Exclusions List (Medicaid Provider Responsibilities)

    Any provider participating or applying to participate in the Georgia Medicaid program, including managed care entities, must search the Georgia Medicaid Exclusion List, in addition to the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM) on a monthly basis to determine if any existing employee or contractor has been excluded

    Read the source dch.georgia.gov

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY Before hire and monthly, the provider's employees and contractors
    BASIS
    DCH Office of Inspector General, Georgia OIG Exclusions List (Medicaid Provider Responsibilities); Part I Policies and Procedures for Medicaid/PeachCare for Kids § 106.24 (EPLS, now SAM, monthly)

    Any provider participating or applying to participate in the Georgia Medicaid program, including managed care entities, must search the Georgia Medicaid Exclusion List, in addition to the List of Excluded Individuals and Entities (LEIE) and the System for Award Management (SAM) on a monthly basis to determine if any existing employee or contractor has been excluded

    Read the source dch.georgia.gov

Expected checks

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

  1. Georgia Caregiver Registry

    Georgia Department of Community Health, Office of Inspector General (Background Investigations Unit)

    SCREENED BY EZOIG Credential verification
    WHEN
    AT HIRE Before service delivery and every 3 years; confirm the eligible GCHEXS determination
    BASIS
    EDWP General Services Manual § 605.1.15.2 and Personal Support Services Manual § 1417.2.8 require GCHEXS checks; DCH tells providers and case managers to read HCBS determinations on the Caregiver Registry

    Provider/Case Managers, you do not need access to GCHEXS to retrieve the eligibility determination. You will access the caregiver’s determination on the Caregiver Registry

    Read the source dch.georgia.gov

Also required

Not registry lookups; ezOIG doesn't run these
  • GCHEXS fingerprint-based check for the primary caregiver and health coaches, results reviewed before service delivery, repeated every 3 years; no exemptions or grandfathering (EDWP General Services Manual § 605.1.15.2; Personal Support Services Manual § 1417.2.8)
  • Owners holding 5% or more of the provider are fingerprinted every 3 years (EDWP General Services Manual § 605.1.15.2)

Guidance, not legal advice

This page summarizes ezOIG's research into Georgia'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 Georgia Department of Community Health (DCH), Division of Medical Assistance Plans or your own counsel before relying on it.

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