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IOWA · CARE PROGRAM

Homemaker, Home Care Aide and Other In-Home Services

Employees who give direct in-home services for a provider the state regulates or funds (for example through Older Americans Act or local public health contracts) that is not a home health agency or waiver provider. Iowa does not license non-medical home care, so private-pay-only agencies fall outside Iowa Code § 135C.33(5).

IN-HOME SERVICES · 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. 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 employment; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 135C.33(5)(a)(1), (b)

    prior to the employment of such an employee, the provider shall request the performance of the criminal and child and dependent adult abuse record checks.

    Read the source legis.iowa.gov

  2. 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 employment; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 135C.33(5)(a)(1), (b)

    prior to the employment of such an employee, the provider shall request the performance of the criminal and child and dependent adult abuse record checks.

    Read the source legis.iowa.gov

  3. 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 employment; verify within seven days of a reported or credible new conviction or founded abuse
    BASIS
    Iowa Code § 135C.33(5)(a)(1), (b)

    prior to the employment of such an employee, the provider shall request the performance of the criminal and child and dependent adult abuse record checks.

    Read the source legis.iowa.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
    Required of Iowa Medicaid-enrolled providers by the Provider Agreement (Form 470-2965, § 4); standard practice for other providers paid with federal funds

  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 At hire and monthly
    BASIS
    The Iowa Medicaid Provider Agreement (Form 470-2965, § 4) requires it of Medicaid-enrolled providers; standard practice for others

  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 lists SAM.gov among its exclusion databases (IL 1130 and the HCBS Provider Manual recommend it); standard practice where the program bills Iowa Medicaid; no Iowa rule names SAM.gov

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)
  • Signed acknowledgment of the record checks, and the application question on founded abuse and convictions (Iowa Code § 135C.33(1)(d))
  • Employees report a new conviction or founded abuse within 48 hours and the employer verifies it within seven days (Iowa Code § 135C.33(8))
  • Optional comprehensive preliminary background check by a DIAL-approved third-party vendor, allowing provisional employment while SING results and any evaluation are pending (Iowa Code § 135C.33(1)(c))

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 In-Home Services.

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

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