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NEBRASKA · CARE PROGRAM

Assisted-Living Facility

Unlicensed direct care staff of licensed assisted-living facilities (175 NAC 4); a person with adverse Nurse Aide Registry findings on resident abuse, neglect or misappropriation must not be employed.

ASSISTED LIVING · ON FILE
Registries named
9
Required
7
Expected
2
Screened by ezOIG
3 of 9
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 (facilities enrolled as AD or TBI Waiver providers)
    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 (facilities enrolled as AD or TBI Waiver providers)
    BASIS
    Nebraska Medicaid Provider Manual (August 2026), 3.7.4 Database Checks and 4.10; 471 NAC 2-005.02(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 Nurse Aide Registry

    Nebraska DHHS, Division of Public Health, Licensure Unit

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE Before hire, unlicensed direct care staff; adverse findings bar employment
    BASIS
    175 NAC 4-006.03A2, 4-006.03A2c

    The facility must check each unlicensed direct care staff for adverse findings on the following registries: 1. Nurse Aide Registry; ... Each facility must not employ or continue employment of any person as direct care staff who has adverse findings on the Nurse Aide Registry regarding resident abuse, neglect, or misappropriation of resident property.

    Read the source rules.nebraska.gov

  4. 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, unlicensed direct care staff (the rule sets no deadline)
    BASIS
    175 NAC 4-006.03A2

    The facility must check each unlicensed direct care staff for adverse findings on the following registries: 1. Nurse Aide Registry; 2. Adult Protective Services Central Registry;

    Read the source rules.nebraska.gov

  5. 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, unlicensed direct care staff (the rule sets no deadline)
    BASIS
    175 NAC 4-006.03A2

    The facility must check each unlicensed direct care staff for adverse findings on the following registries: ... 3. Central Register of Child Protection Cases; and 4. Nebraska State Patrol Sex Offender Registry.

    Read the source rules.nebraska.gov

  6. Nebraska Sex Offender Registry

    Nebraska State Patrol

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire, unlicensed direct care staff (the rule sets no deadline)
    BASIS
    175 NAC 4-006.03A2

    The facility must check each unlicensed direct care staff for adverse findings on the following registries: ... 4. Nebraska State Patrol Sex Offender Registry.

    Read the source rules.nebraska.gov

  7. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly (facilities enrolled as AD or TBI Waiver providers)
    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 State Patrol name-based criminal history report (RAP sheet)

    Nebraska State Patrol, Criminal Identification Division

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE Before hire, new unlicensed direct care staff
    BASIS
    One way to run the criminal background check 175 NAC 4-006.03A1 requires; the rule accepts any governmental law enforcement agency or private entity and names no source

  2. License Information System (LIS) license lookup

    Nebraska DHHS, Division of Public Health, Licensure Unit

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE At hire, medication aides and licensed staff
    BASIS
    175 NAC 4 defines a medication aide as someone listed on the Medication Aide Registry (172 NAC 96) and 4-006.03E requires credentialing records; no rule names a lookup

Also required

Not registry lookups; ezOIG doesn't run these
  • Criminal background check on all new unlicensed direct care staff through a governmental law enforcement agency or a private entity that maintains criminal background information (175 NAC 4-006.03A1)
  • Health history screening before staff assume job responsibilities (175 NAC 4-006.03A3a)
  • Direct care staff orientation within two weeks of employment (175 NAC 4-006.03B1)

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.

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