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MONTANA · CARE PROGRAM

Assisted Living Facility

Everyone who accepts employment at a licensed assisted living facility (Categories A to D), including the administrator; the same rules apply when the facility serves Big Sky Waiver or DD waiver members.

ASSISTED LIVING · ON FILE
Registries named
6
Required
3
Expected
3
Screened by ezOIG
3 of 6
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. Criminal History Online Public Record Search (CHOPRS)

    Montana Department of Justice, Division of Criminal Investigation, Criminal Records and Identification Services Section

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE When a person accepts employment (provisional work allowed pending results); a name-based check, or an FBI fingerprint check in its place; the result goes in the employee file
    BASIS
    MCA 50-5-225(3); ARM 37.106.2816(2)(a), 37.106.2817(2)(e)

    A name-based or FBI fingerprint background check shall be conducted on all employees who have accepted employment at an assisted living facility.

    Read the source law.cornell.edu

  2. Montana Nurse Aide Registry

    DPHHS, Office of Inspector General, Certification Bureau

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, each certified nursing assistant; nobody with an adverse registry finding may be employed or kept on
    BASIS
    ARM 37.106.2817(4); MCA 50-5-225(4)(c)

    The employer must have evidence of contact to verify that each certified nursing assistant has no adverse findings entered on the nurse aid registry maintained by the department in the certification bureau.

    Read the source law.cornell.edu

  3. Licensee Lookup System

    Montana Department of Labor and Industry, Business Standards Division

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, staff who hold a professional licence; the employee file keeps a copy of current licences
    BASIS
    MCA 50-5-225(4)(b); ARM 37.106.2817(2)(b)

    An assisted living facility may not employ a person who: ... (b) has been subject to disciplinary action by a state professional licensing board because of a finding of abuse, neglect, exploitation, mistreatment of residents, or misappropriation of resident property

    Read the source mca.legmt.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 (standard practice)
    BASIS
    42 CFR 1001.1901 bars Medicaid payment for services by excluded people and CMS SMDL #09-001 asks for monthly screening; no Montana rule names it for assisted living

  2. Excluded or Terminated Montana Medicaid Providers

    DPHHS, Montana Healthcare Programs (Program Integrity / SURS)

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly for Medicaid-enrolled facilities (standard practice; DPHHS updates the list irregularly)
    BASIS
    ARM 37.85.506(3) bars Medicaid claims for services by a person suspended or terminated from Montana Medicaid; DPHHS posts the list as notice under ARM 37.85.507

    In accordance with Administrative Rules of Montana (ARM) 37.85.507, 42 CFR 1001.2005 and 42 CFR 1001.2006 this web site serves as notice to the state licensing agencies and others regarding these excluded and or terminated providers.

    Read the source dphhs.mt.gov

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly for Medicaid-enrolled facilities (standard practice)
    BASIS
    DPHHS's excluded-provider page points to SAM to determine provider status; no Montana rule names it for assisted living

    Please check the following web sites to determine provider status

    Read the source dphhs.mt.gov

Also required

Not registry lookups; ezOIG doesn't run these
  • Background checks in every state lived in during the past five years, unless the name-based check is nationwide, or an FBI fingerprint check (ARM 37.106.2816(2)(a)(i))
  • FBI fingerprint background check at hire for all staff of a Category D facility (ARM 37.106.2899C(2)(b))
  • Do not employ anyone found guilty in court of abuse, neglect, exploitation, mistreatment or misappropriation of property (MCA 50-5-225(4)(a))
  • Orientation, abdominal thrust and first aid training, and two hours of dementia training at hire and yearly for direct care staff (ARM 37.106.2816(3)-(5))

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.
Paid access
The agency charges for access, and ezOIG doesn't include it yet.

Guidance, not legal advice

This page summarizes ezOIG's research into Montana'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 Montana Department of Public Health and Human Services (DPHHS), Montana Healthcare Programs or your own counsel before relying on it.

Screen for Montana Assisted Living.

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

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