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NEBRASKA · CARE PROGRAM

Aged and Disabled and TBI Waiver Services, Agency Providers

Direct care staff of agencies providing Aged and Disabled or Traumatic Brain Injury waiver services such as chore, respite and independence skills building (480 NAC 4); agencies screen employees for the waiver provider standards.

AD/TBI WAIVER · ON FILE
Registries named
8
Required
5
Expected
3
Screened by ezOIG
3 of 8
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 At hire and monthly
    BASIS
    Nebraska Medicaid Provider Manual (August 2026), 3.7.4 Database Checks; 42 CFR 1001.1901

    All providers are required to screen all facilities, providers, employees, and contractors not screened by Maximus against the exclusion lists SAM, OIG, and NMEP every month.

    Read the source dhhs.ne.gov

  2. Nebraska Medicaid Excluded Providers (NMEP) list

    Nebraska DHHS, Division of Medicaid and Long-Term Care, Program Integrity Unit

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Nebraska Medicaid Provider Manual (August 2026), 3.7.4 Database Checks and 4.10; 471 NAC 2-005.01(36), 005.02(A)(iii)

    Nebraska Medicaid Excluded Providers (NMEP) screening is required at least once a month. ... All providers are required to screen all facilities, providers, employees, and contractors not screened by Maximus against the exclusion lists SAM, OIG, and NMEP every month. ... Providers should check the NMEP list for all new hires and at least monthly for all staff.

    Read the source dhhs.ne.gov

  3. Nebraska Adult Protective Services Central Registry (APS Registry)

    Nebraska DHHS, Division of Children and Family Services

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE At hire, all new direct care staff (and current staff when the agency enrolls)
    BASIS
    DHHS, Becoming an HCBS Waiver Provider (AD agency provider steps); 480 NAC 4-002.06(M), 002.07, 002.08(A)

    Provide your agency's hiring and reporting policies for: Background checks of the Adult Protective Services Central Registry and Child Abuse/Neglect Central Registry; Verification that there are no substantiated or inconclusive reports of abuse or neglect by you and your current direct care staff, as well as all new hires

    Read the source dhhs.ne.gov

  4. Nebraska Child Abuse and Neglect Central Registry (Central Registry of Child Protection Cases)

    Nebraska DHHS, Division of Children and Family Services

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE At hire, all new direct care staff (and current staff when the agency enrolls)
    BASIS
    DHHS, Becoming an HCBS Waiver Provider (AD agency provider steps); 480 NAC 4-002.06(M), 002.07, 002.08(A)

    Provide your agency's hiring and reporting policies for: Background checks of the Adult Protective Services Central Registry and Child Abuse/Neglect Central Registry; Verification that there are no substantiated or inconclusive reports of abuse or neglect by you and your current direct care staff, as well as all new hires

    Read the source dhhs.ne.gov

  5. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Nebraska Medicaid Provider Manual (August 2026), 3.7.4 Database Checks

    All providers are required to screen all facilities, providers, employees, and contractors not screened by Maximus against the exclusion lists SAM, OIG, and NMEP every month.

    Read the source dhhs.ne.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. Nebraska Sex Offender Registry

    Nebraska State Patrol

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire, direct care staff
    BASIS
    480 NAC 4-002.06(M) says the criminal-activity standard may include a listing on sex offender registries, and 002.07 makes agency providers responsible for screening their employees for those standards

    This may include a listing on the child or adult central registries of abuse and neglect, a listing on sex offender registries, or a history of criminal convictions; ... Agency providers are responsible for screening their employees for the listed provider standards.

    Read the source rules.nebraska.gov

  2. Nebraska Nurse Aide Registry

    Nebraska DHHS, Division of Public Health, Licensure Unit

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, direct care staff
    BASIS
    DHHS checks the nurse aide registry for independent AD Waiver providers (HCBS prospective provider page), and 480 NAC 4-002.07 has agencies screen employees for the same provider standards; no rule names it for agency staff

  3. Nebraska State Patrol name-based criminal history report (RAP sheet)

    Nebraska State Patrol, Criminal Identification Division

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, direct care staff
    BASIS
    One way to screen employees for the criminal history standards of 480 NAC 4-002.06(M) and 002.07; no rule names a source

Also required

Not registry lookups; ezOIG doesn't run these
  • No one with charges or convictions for crimes against a child or vulnerable adult, crimes of intentional bodily harm or illegal controlled substance use may provide direct care (480 NAC 4-002.07)
  • Staff providing in-home services are 19 or older (480 NAC 4-002.06(S))
  • Annual DHHS in-person review of each provider, including a screening of the sex offender and central registries (480 NAC 4-002.09)
  • Knowledge of traumatic brain injury for TBI Waiver providers; DHHS offers the training (DHHS HCBS prospective provider page)

Why some registries are not screened yet

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.
Checked by request to the agency
The agency answers a written request or form rather than an online search.
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 Nebraska'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 Nebraska Department of Health and Human Services, Division of Medicaid and Long-Term Care or your own counsel before relying on it.

Screen for Nebraska AD/TBI Waiver.

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

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