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LOUISIANA · CARE PROGRAM

Long-Term Personal Care Services and Community Choices Waiver

Direct service workers of HCBS-licensed personal care attendant agencies serving LT-PCS and Community Choices Waiver participants, and workers hired by self-directing CCW participants; the OAAS rules are identical, so the two are merged.

LT-PCS / CCW · ON FILE
Registries named
7
Required
5
Expected
2
Screened by ezOIG
5 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 At hire and monthly, all employees and contractors, including workers of self-direction employers (the fiscal/employer agent screens at hire, the employer monthly)
    BASIS
    Medicaid Services Manual ch. 30 § 30.6 and Appendix D; ch. 7 § 7.6 and Appendix G; LAC 50:XV.12909(B)(4); LAC 50:XXI.9301(B)(2); LAC 48:I.9202(C); OAAS CCW Self-Direction Employer Handbook (OAAS-MAN-13-002) Appendix B

    Providers must screen potential and active employees using the following databases: 1. Louisiana State Adverse Actions List; and 2. Office of Inspector General (OIG) List of Excluded Individuals. Potential employees must be screened for any exclusions AND adverse actions upon hire. All employees must be screened MONTHLY using the above databases.

    Read the source lamedicaid.com

  2. Louisiana State Adverse Actions List

    Louisiana Department of Health (Program Integrity and Health Standards Section)

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly, all employees and contractors, including workers of self-direction employers (the fiscal/employer agent screens at hire, the employer monthly)
    BASIS
    Medicaid Services Manual ch. 30 § 30.6 and Appendix D; ch. 7 § 7.6 and Appendix G; LAC 50:XV.12909(B)(4); LAC 50:XXI.9301(B)(2); OAAS CCW Self-Direction Employer Handbook (OAAS-MAN-13-002) Appendix B

    Providers must screen potential and active employees using the following databases: 1. Louisiana State Adverse Actions List; and 2. Office of Inspector General (OIG) List of Excluded Individuals. Potential employees must be screened for any exclusions AND adverse actions upon hire. All employees must be screened MONTHLY using the above databases.

    Read the source lamedicaid.com

  3. Direct Service Worker Registry

    Louisiana Department of Health, Health Standards Section

    SCREENED BY EZOIG Read with the state's exclusion list check
    WHEN
    MONTHLY Before hire and monthly, direct service workers of licensed agencies; self-direction workers are searched on the Adverse Actions List, which holds the DSW Registry
    BASIS
    LAC 48:I.9202(C), 9231; LAC 48:I.5055(F)(1)

    Licensed and/or certified healthcare providers shall access the DSW registry and the Office of Inspector General’s (OIG) list of excluded individuals and entities (LEIE) prior to hire, and then monthly thereafter to determine if there is a finding that a prospective hire, or currently employed or contracted DSW, has been determined to have committed exploitation, extortion, abuse or neglect

    Read the source ldh.la.gov

  4. National Sex Offender Public Website

    U.S. Department of Justice

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Before an offer of employment, unlicensed staff; run by State Police or an authorized agency with the criminal history check
    BASIS
    La. R.S. 40:1203.1(4), 1203.2(B); LAC 48:I.9231(D)(2)

    The security check shall consist of the use of personal identifiers, such as name, social security number, date of birth, and driver's license number, to search the national sex offender public registry. The provider shall obtain from the Louisiana State Police or the authorized agency the results of the security check

    Read the source ldh.la.gov

  5. Louisiana State Board of Nursing License Lookup

    Louisiana State Board of Nursing

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire and periodically, licensed staff such as supervising RNs; HCBS rules add annual verification
    BASIS
    Medicaid Services Manual, General Information and Administration § 1.3; LAC 48:I.5055(D)(3)

    Providers must perform background checks on all managers and employees in addition to contacting licensing boards at the time of hire and periodically thereafter.

    Read the source lamedicaid.com

Expected checks

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

  1. Louisiana Nurse Aide Registry (CNA/DSW lookup)

    Louisiana Department of Health, Health Standards Section

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    MONTHLY Before an offer and monthly, workers who are CNAs
    BASIS
    LAC 48:I.10033(C) applies to employers hiring CNAs; the PCS manual's Appendix D tells providers to check the CNA lookup but lists only the Adverse Actions List and the LEIE as required databases

    Certified Nursing Assistant Lookup Database The provider will: ... Check for potential employees/employees

    Read the source lamedicaid.com

  2. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly, alongside the LEIE
    BASIS
    Medicaid Services Manual, General Information and Administration § 1.3 says providers should check the OIG and EPLS (now SAM) websites; no cadence or rule names SAM for employees

    Providers should check the OIG and the Excluded Parties List System (EPLS) websites to determine if an individual has been excluded, restricted or convicted.

    Read the source lamedicaid.com

Also required

Not registry lookups; ezOIG doesn't run these
  • Criminal history check through Louisiana State Police upon hire, for unlicensed staff, supervisors and contractors (LAC 50:XV.12909(B)(3); LAC 50:XXI.9301(B); La. R.S. 40:1203.2)
  • No hiring of anyone with a conviction listed in 42 CFR 441.404(b) or La. R.S. 40:1203.3
  • Direct service workers at least 18 and able to read, write and understand English (LAC 48:I.9231(A))
  • Medication administration and non-complex tasks only after 16 hours of training and RN authorization (LAC 48:I.Chapter 92, Subchapter D)
  • Relatives serve as paid workers only under LDH's criteria (La. R.S. 40:2179(B))

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 Louisiana'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 Louisiana Department of Health (Bureau of Health Services Financing) or your own counsel before relying on it.

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