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MISSOURI · CARE PROGRAM

In-Home Services (State Plan agency-model personal care and Aged and Disabled Waiver)

All employees of in-home services providers (personal care, advanced personal care, authorized nurse visits, homemaker, chore, respite) under 19 CSR 15-7.021; the two MO HealthNet manuals agree except on the LEIE (see the LEIE cadence).

IN-HOME · ON FILE
Registries named
11
Required
8
Expected
3
Screened by ezOIG
4 of 11
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 employment (Aged and Disabled Waiver); monthly for current employees is encouraged by both manuals
    BASIS
    MO HealthNet Aged and Disabled Waiver Provider Manual § 2.3 (required before employment) and § 2.7; Personal Care Provider Manual § 2.2 only encourages it

    Providers must ensure that each employee is registered, screened, and employable according to the Family Care Safety Registry (FCSR), the Office of Inspector General (OIG) and the Employee Disqualification List (EDL) maintained by DHSS DRL and applicable state laws and regulations prior to employment.

    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 At hire; employee registered within 15 days
    BASIS
    19 CSR 15-7.021(19)(F); MO HealthNet Personal Care Provider Manual § 2.2; Aged and Disabled Waiver Provider Manual § 2.3

    Ensure that all employees are registered with the DHSS Family Care Safety Registry (FCSR). The provider shall then request background information on all employees and abide by the rules set forth in 19 CSR 30-82.060 regarding any employees not eligible for employment.

    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
    RSMo 192.2495.1(2), .3(1); MO HealthNet Personal Care Provider Manual § 2.2

    Prior to allowing any person who has been hired as a full-time, part-time or temporary position to have contact with any patient or resident the provider shall ... (1) Request a criminal background check as provided in section 43.540. Completion of an inquiry to the highway patrol for criminal records ... shall be deemed to fulfill the provider's duty

    Read the source revisor.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 employment; current employees monitored against the current list
    BASIS
    19 CSR 15-7.021(18)(B); RSMo 192.2495.3(2)

    Monitor a current copy of the department’s Employee Disqualification List to ensure that no current or prospective employee’s name appears on the list and discharge any such employee once it is discovered by the provider that the employee is on the Employee Disqualification List

    Read the source sos.mo.gov

  5. 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 providing in-home services
    BASIS
    RSMo 192.2495.7(7), as DHSS's Family Care Safety Registry guidance reads it

    Subsection 7 of that law requires providers of home health care and in-home services also check the Department of Social Services’ Child Abuse and Neglect Registry and the Department of Mental Health’s Employee Disqualification Registry (EDR).

    Read the source health.mo.gov

  6. 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 providing in-home services
    BASIS
    RSMo 192.2495.7(8), as DHSS's Family Care Safety Registry guidance reads it

    Subsection 7 of that law requires providers of home health care and in-home services also check the Department of Social Services’ Child Abuse and Neglect Registry and the Department of Mental Health’s Employee Disqualification Registry (EDR).

    Read the source health.mo.gov

  7. Missouri CNA, CMT, LIMA and Insulin Registry

    Missouri Department of Health and Senior Services, Health Education Unit (hosted on Headmaster D&S TMU)

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire, aides who hold CNA certification
    BASIS
    19 CSR 15-7.021(24)(B)10

    Verification of the current Missouri certified nurse assistant, licensed practical nurse, graduate nurse, or registered nurse license including, at least, the license or certificate number

    Read the source sos.mo.gov

  8. 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, LPNs and graduate nurses (authorized nurse visits, supervision)
    BASIS
    19 CSR 15-7.021(24)(B)10, (19)(E)

    Verification of the current Missouri certified nurse assistant, licensed practical nurse, graduate nurse, or registered nurse license including, at least, the license or certificate number

    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 (MO HealthNet 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; RSMo 192.2495.7(5) bars in-home services agencies from employing anyone convicted of an offense requiring registration

    "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
  • Nationwide fingerprint check through the highway patrol for an applicant who has not lived in Missouri for five consecutive years and has no licensed Missouri facility employment in that time (RSMo 192.2495.3(1))
  • Good cause waiver rules for anyone not eligible for employment (19 CSR 30-82.060)
  • Communicable disease policy, including hepatitis and tuberculosis reporting (MO HealthNet Personal Care Provider Manual § 2.2)
  • Worker is not a member of the participant's immediate family (Aged and Disabled Waiver Provider Manual § 2.3)
  • Personal care aide training (19 CSR 15-7.021(19))

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.
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.
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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