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MISSOURI · CARE PROGRAM

Consumer-Directed Services (personal care assistance)

Attendants employed by the consumer, screened by the CDS vendor (provider) before service delivery, and the vendor's own employees.

CDS · ON FILE
Registries named
9
Required
4
Expected
5
Screened by ezOIG
4 of 9
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 service delivery; monthly per MMAC's CDS manager training
    BASIS
    MO HealthNet Personal Care Provider Manual § 2.9; MMAC CDS manager training (July 2026) for the monthly cadence

    Ensuring that each attendant is registered, screened, and employable according to the FCSR, the OIG, and the EDL maintained by DHSS, and applicable state laws and regulations prior to beginning service delivery

    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 service delivery; MMAC training passes on a DHSS recommendation to rescreen annually
    BASIS
    19 CSR 15-8.400(5)(A)1; 19 CSR 15-8.400(8)(B); RSMo 208.909.4

    Ensuring that each attendant is registered, screened, and employable pursuant to the Family Care Safety Registry (FCSR) and the Employee Disqualification List (EDL) maintained by Department of Health and Senior Services (DHSS) and applicable state laws and regulations prior to beginning service delivery

    Read the source sos.mo.gov

  3. Employee Disqualification List (EDL)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before service delivery; MMAC trains vendors to recheck quarterly
    BASIS
    19 CSR 15-8.400(5)(A)1; RSMo 208.909.4

    Ensuring that each attendant is registered, screened, and employable pursuant to the Family Care Safety Registry (FCSR) and the Employee Disqualification List (EDL) maintained by Department of Health and Senior Services (DHSS) and applicable state laws and regulations prior to beginning service delivery

    Read the source sos.mo.gov

  4. 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 service delivery
    BASIS
    RSMo 208.909.4 (the 192.2495 screening is a highway patrol criminal check plus an EDL inquiry, RSMo 192.2495.3)

    No state or federal financial assistance shall be authorized or expended to pay for personal care assistance services provided by a personal care attendant who has not undergone the background screening process under section 192.2495.

    Read the source revisor.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 (CDS vendors)
    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. DMH Employee Disqualification Registry (EDR)

    Missouri Department of Mental Health, Office of General Counsel

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before service delivery
    BASIS
    19 CSR 15-8.400(8)(B) bars paying an attendant listed on any FCSR background list, which include the DMH EDR

    No state or federal funds shall be authorized or expended to pay for CDS provided by an attendant who is listed on any of the background check lists in the Family Care Safety Registry

    Read the source sos.mo.gov

  3. Child Abuse and Neglect Central Registry

    Missouri Department of Social Services, Children's Division

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before service delivery
    BASIS
    19 CSR 15-8.400(8)(B) bars paying an attendant listed on any FCSR background list, which include child abuse/neglect findings

    No state or federal funds shall be authorized or expended to pay for CDS provided by an attendant who is listed on any of the background check lists in the Family Care Safety Registry

    Read the source sos.mo.gov

  4. Missouri Sex Offender Registry

    Missouri State Highway Patrol

    SCREENED BY EZOIG Sex offender registry check
    WHEN
    AT HIRE Before service delivery
    BASIS
    19 CSR 15-8.400(8)(B) bars paying an attendant listed on any FCSR background list, which include the sex offender registry

  5. 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
  • Good cause waiver from DHSS before paying an attendant listed on an FCSR background list; none for an EDL listing (19 CSR 15-8.400(8)(B); RSMo 208.909.4)
  • Attendant qualifications: at least 18, not the consumer's spouse or guardian, not a consumer, no prior Medicaid fraud (MO HealthNet Personal Care Provider Manual § 2.10; 19 CSR 15-8.400(5)(A)3)
  • CDS manager orientation and test with MMAC within six months of hire (Personal Care Provider Manual § 2.10)

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.

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