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IOWA · CARE PROGRAM

Intellectual Disability and Brain Injury Waivers and Habilitation Services

Staff of supported community living, day habilitation, supported employment, home-based habilitation and other providers under the Intellectual Disability and Brain Injury waivers and 1915(i) Habilitation; many hold 441 IAC 24 accreditation, which adds licence verification.

ID / BI / HAB · ON FILE
Registries named
8
Required
6
Expected
2
Screened by ezOIG
4 of 8
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 or contract, and monthly
    BASIS
    Iowa Medicaid Provider Agreement (Form 470-2965, rev. 03/26), § 4; IL 1130; HCBS Provider Manual ch. III

    The Provider must screen employees and contractors against the HHS-OIG and State Exclusion List before hiring and monthly thereafter. Any exclusions must be reported to the Department.

    Read the source hhs.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 hire or contract, and monthly
    BASIS
    Iowa Medicaid Provider Agreement (Form 470-2965, rev. 03/26), § 4 ("State Exclusion List", published on Iowa Medicaid's Excluded Individuals and Entities page as the Iowa Medicaid Sanctions List under "Required Exclusion Databases"); 441 IAC 79.2(2)(w)

    The Provider must screen employees and contractors against the HHS-OIG and State Exclusion List before hiring and monthly thereafter. Any exclusions must be reported to the Department.

    Read the source hhs.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 direct care begins; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 249A.29; 441 IAC 77.30(2)(b) (habilitation); 441 IAC 24.3(4)(b)(10) (accredited providers); HCBS Provider Manual ch. III

    The provider shall complete child abuse, dependent adult abuse, and criminal background screenings pursuant to Iowa Code section 249A.29 before employing a person who will provide direct care.

    Read the source legis.iowa.gov

  4. 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 direct care begins; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 249A.29; 441 IAC 77.30(2)(b) (habilitation); 441 IAC 24.3(4)(b)(10) (accredited providers); HCBS Provider Manual ch. III

    The provider shall complete child abuse, dependent adult abuse, and criminal background screenings pursuant to Iowa Code section 249A.29 before employing a person who will provide direct care.

    Read the source legis.iowa.gov

  5. 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 direct care begins; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 249A.29; 441 IAC 77.30(2)(b) (habilitation); 441 IAC 24.3(4)(b)(10) (accredited providers); HCBS Provider Manual ch. III

    The provider shall complete child abuse, dependent adult abuse, and criminal background screenings pursuant to Iowa Code section 249A.29 before employing a person who will provide direct care.

    Read the source legis.iowa.gov

  6. Iowa Board of Nursing License Verification

    Iowa Department of Inspections, Appeals, and Licensing (Board of Nursing)

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE Within 90 days of hire, verified with the primary source, staff whose position requires a licence (441 IAC 24-accredited providers)
    BASIS
    441 IAC 24.3(4)(b)(2)

    Has a process to verify qualifications of staff, including degrees, licenses, medication management training, and certification as required by the position, within 90 days of the staff person’s employment.

    Read the source legis.iowa.gov

Expected checks

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

  1. 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

  2. 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
  • HHS Record Check Evaluation (Form 470-2310) before employing anyone whose checks show a conviction or founded child or dependent adult abuse; HHS decides whether the record bars the job (Iowa Code § 135C.33(2)-(4); 441 IAC 119)
  • Habilitation direct care staff at least 16 and not an immediate family member of the member (441 IAC 77.30(2)(c), (d))
  • Approved training on child and dependent adult abuse reporting for mandatory reporters (441 IAC 24.3(4)(b)(6))

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
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.

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