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MISSOURI · CARE PROGRAM

Developmental Disabilities Waivers and DMH-funded programs

Staff, volunteers, students and adult household members with contact with individuals served by agencies DMH operates, licenses, certifies or funds (Comprehensive, Community Support, Partnership for Hope and Autism waivers, group homes, day programs); agencies also licensed by DHSS or Children's Division follow that agency's criminal check rules. RSMo 192.2495 also covers DMH-funded programs, so the criminal and EDL checks come before contact.

DD WAIVERS · ON FILE
Registries named
9
Required
3
Expected
6
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. Employee Disqualification List (EDL)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before contact with individuals served, and no later than two working days after hire for staff; before contact for volunteers, students and household members
    BASIS
    RSMo 630.170.7(2); RSMo 192.2495.1(5), .3(2); 9 CSR 10-5.190(4)(A), (5)

    shall, not later than two working days after hiring any person for a full-time, part-time, or temporary position that will have contact with clients, residents, or patients: ... (2) Make an inquiry to the department of social services and department of health and senior services to determine whether the person is listed on the employee disqualification list as provided in section 192.2490

    Read the source revisor.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 Within two working days of hire for staff; before contact for volunteers, students and household members
    BASIS
    RSMo 630.170.7(3); 9 CSR 10-5.190(4)(B), (5)

    shall, not later than two working days after hiring any person for a full-time, part-time, or temporary position that will have contact with clients, residents, or patients: ... (3) Make an inquiry to the department of mental health to determine whether the person is listed on the disqualification registry as provided in this section.

    Read the source revisor.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 individuals served, and initiated no later than two working days after hire for staff; before contact for volunteers, students and household members
    BASIS
    9 CSR 10-5.190(4)(C), (5); RSMo 630.170.7(1); RSMo 192.2495.1(5), .3(1)

    A criminal background check with the Missouri State Highway Patrol. The request for the background check does not require fingerprints and shall be in accordance with requirements of the Missouri State Highway Patrol under Chapter 43, RSMo.

    Read the source sos.mo.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
    42 CFR 1001.1901; standard practice for MO HealthNet waiver providers. DMH's provider site review tool checks only that the provider itself is not on the OIG list

  2. 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 (MO HealthNet 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

  3. Family Care Safety Registry (FCSR)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Worker registers within 15 days of hire
    BASIS
    RSMo 210.900(7)-(8), (11) and 210.906 make mental health and personal-care workers register; DMH names the FCSR as a way to check the EDR

    Every child-care worker or elder-care worker hired on or after January 1, 2001, and every personal-care worker hired on or after January 1, 2002, and every mental health worker hired on or after January 1, 2009, shall complete a registration form within fifteen days of the beginning of such person's employment.

    Read the source revisor.mo.gov

  4. Missouri Sex Offender Registry

    Missouri State Highway Patrol

    SCREENED BY EZOIG Sex offender registry check
    WHEN
    AT HIRE At hire
    BASIS
    RSMo 630.170.2 disqualifies anyone convicted of an offense requiring registration under RSMo 589.400 from direct-care positions; the FCSR checks the registry

    has been found guilty of or pleaded guilty or nolo contendere to any offense requiring registration under section 589.400

    Read the source revisor.mo.gov

  5. MO DPR Licensing Portal license search

    Missouri Division of Professional Registration (State Board of Nursing and other boards)

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, RNs and LPNs; kept current
    BASIS
    DMH Provider Site Review Tool p.2.2 checks licensed staff keep a current active licence

    Do staff who require professional license (such as RNs who oversee the practice of medication administrations and LPNs who administer medications) maintain a current active professional license?

    Read the source dmh.mo.gov

  6. 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 signs a criminal record review consent and discloses criminal history, EDL and EDR listings (RSMo 630.170.5; 9 CSR 10-5.190(6))
  • Written background screening policy that separates statutorily disqualifying convictions from the rest (9 CSR 10-5.190(7))
  • Exception from the DMH Exceptions Committee before employing a disqualified person (RSMo 630.170.4)
  • Medication aide certification for staff who give medications (9 CSR 45-3)

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.
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 DD Waivers.

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

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