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IOWA · CARE PROGRAM

Consumer Choices Option (CCO) and Consumer-Directed Attendant Care (CDAC)

Workers a waiver member hires under the Consumer Choices Option, checked through the member's financial management service (FMS), and individual CDAC providers, who enroll with Iowa Medicaid themselves and are record-checked at enrollment. Agency CDAC providers follow HCBS Waiver Services.

CCO / CDAC · ON FILE
Registries named
7
Required
3
Expected
4
Screened by ezOIG
4 of 7
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 the member hires; monthly, because the bar lasts for the whole employment (practice)
    BASIS
    441 IAC 78.34(13)(m)(3)

    A member may not employ any person who has been excluded by the Office of the Inspector General of the Department of Health and Human Services under Sections 1128 or 1156 of the Social Security Act as amended to July 1, 2026, and is not eligible to receive federal funds.

    Read the source legis.iowa.gov

  2. Iowa Medicaid Sanctions List

    Iowa Department of Health and Human Services (Iowa Medicaid Program Integrity)

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY Before the member hires; monthly, because the bar lasts for the whole employment (practice)
    BASIS
    441 IAC 78.34(13)(m)(2); 79.15(3)(b) (a sanctioned person may not manage CCO funds)

    A member may not employ any person who has been sanctioned, or who is affiliated with a person or an entity that has been sanctioned, under 441—Chapter 79.

    Read the source legis.iowa.gov

  3. Iowa Criminal History Record Check

    Iowa Department of Public Safety, Division of Criminal Investigation (DCI)

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE Before hire, run by the FMS
    BASIS
    441 IAC 78.34(13)(l)(5)

    Conduct criminal background checks on potential employees pursuant to 441—Chapter 119.

    Read the source legis.iowa.gov

Expected checks

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

  1. Central Abuse Registry (child abuse information)

    Iowa Department of Health and Human Services

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE Before hire, run by the FMS
    BASIS
    441 IAC 119.2(1), to which the FMS duty points, requires criminal, child abuse and dependent adult abuse checks; the CCO rule itself names criminal checks only

  2. Central Abuse Registry (dependent adult abuse information)

    Iowa Department of Health and Human Services

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE Before hire, run by the FMS
    BASIS
    441 IAC 119.2(1), to which the FMS duty points, requires criminal, child abuse and dependent adult abuse checks; the CCO rule itself names criminal checks only

  3. Iowa Sex Offender Registry

    Iowa Department of Public Safety, Division of Criminal Investigation

    SCREENED BY EZOIG Sex offender registry check
    WHEN
    AT HIRE At hire
    BASIS
    Standard practice; no Iowa rule names it. It lists Iowa registrants with out-of-state convictions that the Iowa-only DCI check misses, and Iowa HHS's Abuse Registry page links it beside the DCI criminal history check

  4. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Iowa Medicaid's exclusion page lists SAM.gov with its "Required Exclusion Databases", but IL 1130 and the HCBS Provider Manual only recommend it and the Provider Agreement leaves it out

Also required

Not registry lookups; ezOIG doesn't run these
  • Independent support broker consents to criminal, child abuse and dependent adult abuse checks, and the member receives the results before hiring the broker (441 IAC 77.35(14)(e); 78.34(13)(c))
  • Each employee signs an employment agreement with the member (441 IAC 78.34(13)(j))
  • Individual CDAC providers file a Record Check Consent (Form 470-4227) with their Iowa Medicaid enrollment (HCBS Provider Manual ch. III)

Why some registries are not screened yet

Checked by request to the agency
The agency answers a written request or form rather than an online search.

Guidance, not legal advice

This page summarizes ezOIG's research into Iowa'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 Iowa Department of Health and Human Services (Iowa Medicaid) or your own counsel before relying on it.

Screen for Iowa CCO / CDAC.

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

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