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MISSOURI · CARE PROGRAM

Skilled Nursing and Intermediate Care Facility

Every employee hired to have contact with residents (operators licensed under chapter 198), with registry verification for nurse aides and medication technicians.

NURSING FACILITY · 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. 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 residents
    BASIS
    RSMo 192.2495.1(1), .3(1); 19 CSR 30-85.042(17)

    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

  2. Employee Disqualification List (EDL)

    Missouri Department of Health and Senior Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before contact with residents; nobody listed may work or volunteer in any capacity
    BASIS
    RSMo 192.2495.1(1), .3(2); 19 CSR 30-85.042(19)

    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 ... (2) Make an inquiry to the department of health and senior services whether the person is listed on the employee disqualification list as provided in section 192.2490.

    Read the source revisor.mo.gov

  3. 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 Before a nurse aide serves, every state registry that may hold the person; medication technicians' registry status at hire
    BASIS
    42 CFR 483.35(d)(4)-(5), 483.12(a)(3)(ii); 19 CSR 30-84.020(12)(C)

    Registry verification. Before allowing an individual to serve as a nurse aide, a facility must receive registry verification that the individual has met competency evaluation requirements ... Multi-State registry verification. Before allowing an individual to serve as a nurse aide, a facility must seek information from every State registry

    Read the source ecfr.gov

  4. 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, nurses and other licensed staff; kept current
    BASIS
    42 CFR 483.12(a)(3)(iii); 19 CSR 30-85.042(33) (nurses currently licensed in Missouri)

    Not employ or otherwise engage individuals who— ... (iii) Have a disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property.

    Read the source ecfr.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 bars payment for services by excluded people; no MO HealthNet rule or manual for this program names the check (CMS SMDL #09-001 urges states to have providers screen monthly)

  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 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; screening at hire
    BASIS
    RSMo 210.900(4) and 210.906 make workers of chapter 198 operators register; an FCSR screening reports the open Missouri criminal records and EDL status that RSMo 192.2495.3 asks for, though 19 CSR 30-85 does not mention it

    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 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

  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
  • 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))
  • Applicant signs a consent and discloses criminal history, any EDL listing and any FCSR listing (RSMo 192.2495.5; 19 CSR 30-85.042(18))
  • Good cause waiver from DHSS, confirmed with the department before hire, for anyone with a disqualifying conviction (19 CSR 30-85.042(18); 19 CSR 30-82.060)
  • Employee communicable disease screening (19 CSR 30-85.042(27))
  • Nurse aide training and competency evaluation within four months (42 CFR 483.35(d); 19 CSR 30-84.010)

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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