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MISSOURI · CARE PROGRAM

Residential Care Facilities and Assisted Living Facilities

Every person hired to have contact with residents, and volunteers giving direct care; the rules for residential care facilities (19 CSR 30-86.042, .043) and assisted living facilities (19 CSR 30-86.047) are the same.

RCF/ALF · 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. 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
    19 CSR 30-86.047(13)(A); 19 CSR 30-86.042(11)(A); RSMo 192.2495.1(1), .3(1)

    the facility shall or, in the case of temporary employees hired through or contracted from an employment agency, the employment agency shall, prior to sending a temporary employee to a facility— (A) Request a criminal background check for the person, as provided in section 192.2495, RSMo.

    Read the source sos.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, employees and direct care volunteers
    BASIS
    19 CSR 30-86.047(12), (13)(B); 19 CSR 30-86.042(10), (11)(B); RSMo 192.2495.3(2)

    (B) Make an inquiry to the department, as provided in section 192.2490, RSMo, as to whether the person is listed on the EDL.

    Read the source sos.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 At hire, certified medication technicians, level I medication aides, insulin administration aides (and certified nurse aides in RCFs)
    BASIS
    19 CSR 30-86.047(20)(E); 19 CSR 30-86.042(21)(E)

    for those individuals requiring certification, such as certified medication technicians, level I medication aides and insulin administration aides; printing the Web Registry search results page available at www.health.mo.gov/cnaregistry shall meet the requirements of the employer’s check regarding valid certification

    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 facilities billing MO HealthNet (RCF/ALF personal care); no rule names it

  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 (facilities enrolled with MO HealthNet)
    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; 19 CSR 30-86.047(13)(C) lets the facility use an FCSR screening for the criminal and EDL checks

    If the person has registered with the department’s Family Care Safety Registry (FCSR), the facility may utilize the FCSR in order to meet the requirements of subsections (13)(A) and (13) (B) of this rule.

    Read the source sos.mo.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
    BASIS
    19 CSR 30-86.047(20)(E) requires copies of current licences in the personnel record, not a lookup

  5. 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

  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
  • Applicants told of their duty to disclose prior criminal history (19 CSR 30-86.047; RSMo 192.2495.5)
  • Good cause waiver verified with DHSS before anyone with a disqualifying conviction has contact with residents (19 CSR 30-86.047(13)(A)2)
  • No employee with access to controlled substances who has a controlled-substance conviction, unless DHSS waives it (19 CSR 30-86.047(14))
  • Tuberculosis screening of staff (19 CSR 30-86.047(19); 19 CSR 20-20.100)
  • Contracted professionals with resident contact: criminal check or monitoring (19 CSR 30-86.047(13)(D))

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.

Screen for Missouri RCF/ALF.

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