Skip to content

MISSOURI · CARE PROGRAM

Adult Day Care (licensed programs and the Adult Day Care Waiver)

All employees, contractors and volunteers of licensed adult day care programs (19 CSR 30-90); Adult Day Care Waiver providers also check the LEIE before hire and monthly.

ADULT DAY CARE · ON FILE
Registries named
7
Required
4
Expected
3
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 hire and monthly (Adult Day Care Waiver providers)
    BASIS
    MO HealthNet Adult Day Care Waiver Provider Manual § 2.8

    Background investigations must include the following for all new applicants for employment: ... Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) ... Providers must check the LEIE for each current employee monthly.

    Read the source dss.mo.gov

  2. Family Care Safety Registry (FCSR)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before contact; registered within 15 days of hire
    BASIS
    19 CSR 30-90.040(12); MO HealthNet Adult Day Care Waiver Provider Manual § 2.8

    All persons employed, contracted, or volunteering shall be registered and screened through DHSS’ Family Care Safety Registry (FCSR)

    Read the source dss.mo.gov

  3. Missouri Automated Criminal History Site (MACHS) name search

    Missouri State Highway Patrol, Criminal Justice Information Services Division

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before contact with participants
    BASIS
    19 CSR 30-90.040(11)(A); RSMo 192.2495.1(6), .3(1)

    Prior to allowing any person who has been hired as a full-time, part-time or temporary position to have contact with participants, ... (A) Request a criminal background check for the person as provided in section 43.540, RSMo.

    Read the source sos.mo.gov

  4. Employee Disqualification List (EDL)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before contact, and at least every 90 days for current employees, contractors and volunteers
    BASIS
    19 CSR 30-90.040(10), (11)(B); RSMo 192.2495.3(2)

    The adult day care provider shall make periodic checks of the EDL to determine whether any current employee, contractor or volunteer has been recently added to the list. These checks shall be made at least every ninety (90) days by contacting the FCSR once the individual is registered and listed on the registry.

    Read the source sos.mo.gov

Expected checks

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

  1. MMAC Sanction List (List of Terminations)

    Missouri Medicaid Audit and Compliance Unit, Department of Social Services

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly (Adult Day Care Waiver providers)
    BASIS
    MMAC Provider Sanctions page: an effective compliance program 'should include' a monthly sanction list check (advice, not a rule); 13 CSR 70-3.030(5)(F) bars claims for services provided by a person within the organization whom MO HealthNet has suspended or terminated

    Providers are reminded that part of an effective compliance program should include checking the sanction list at least on a monthly basis.

    Read the source mmac.mo.gov

  2. Missouri Sex Offender Registry

    Missouri State Highway Patrol

    SCREENED BY EZOIG Sex offender registry check
    WHEN
    AT HIRE At hire
    BASIS
    RSMo 192.2495.3(1) calls for the check 'as provided in section 43.540', whose Missouri criminal record review covers sex offender registration records; the FCSR screening also checks the registry

    "Missouri criminal record review", a review of criminal history records and sex offender registration records pursuant to sections 589.400 to 589.425 maintained by the Missouri state highway patrol in the Missouri criminal records repository

    Read the source revisor.mo.gov

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for MO HealthNet providers; no Missouri rule names SAM

Also required

Not registry lookups; ezOIG doesn't run these
  • Applicant discloses any EDL listing and criminal history and signs a consent for a highway patrol criminal record review (19 CSR 30-90.040(9))
  • Nobody discharged elsewhere for abuse or neglect of patients, residents or clients may work or volunteer (19 CSR 30-90.040(8))
  • Good cause waiver confirmed with DHSS before hiring someone with a disqualifying conviction (19 CSR 30-90.040(14)-(15); 19 CSR 30-82.060)
  • Direct care staff free of communicable disease (19 CSR 30-90.040(7))

Why some registries are not screened yet

Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.

Guidance, not legal advice

This page summarizes ezOIG's research into Missouri'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 MO HealthNet Division, Missouri Department of Social Services (provider enrollment and sanctions: Missouri Medicaid Audit and Compliance) or your own counsel before relying on it.

Screen for Missouri Adult Day Care.

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

Start a trial with Missouri Adult Day Care preselected All Missouri programs