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NEBRASKA · CARE PROGRAM

Skilled Nursing Facility and Nursing Facility

Staff with direct and unsupervised access to residents, or who provide their care, in facilities licensed under 175 NAC 12; checks are done before unsupervised contact.

NURSING FACILITY · ON FILE
Registries named
9
Required
8
Expected
1
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 (Medicaid-enrolled facilities)
    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 (Medicaid-enrolled facilities)
    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 unsupervised contact with residents; registry verification before anyone serves as a nurse aide
    BASIS
    175 NAC 12-006.04(A)(iii), (iii)(2)(a), (iii)(3)(d); 42 CFR 483.35(d)(4), (5); 42 CFR 483.12(a)(3)(ii)

    Criminal background and registry checks must be completed on any staff members who have direct and unsupervised access to or who provide care and treatment to residents. These checks must be completed prior to the staff having unsupervised contact with any resident. ... A check for adverse findings must include the following registries: (a) Nurse Aide Registry;

    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 Before unsupervised contact with residents
    BASIS
    175 NAC 12-006.04(A)(iii)(2)(b)

    Criminal background and registry checks must be completed on any staff members who have direct and unsupervised access to or who provide care and treatment to residents. ... A check for adverse findings must include the following registries: (a) Nurse Aide Registry; (b) 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 Before unsupervised contact with residents
    BASIS
    175 NAC 12-006.04(A)(iii)(2)(c)

    Criminal background and registry checks must be completed on any staff members who have direct and unsupervised access to or who provide care and treatment to residents. ... A check for adverse findings must include the following registries: ... (c) Central Register of Child Protection Cases; and (d) 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 Before unsupervised contact with residents
    BASIS
    175 NAC 12-006.04(A)(iii)(2)(d)

    Criminal background and registry checks must be completed on any staff members who have direct and unsupervised access to or who provide care and treatment to residents. ... A check for adverse findings must include the following registries: ... (d) Sex Offender Registry.

    Read the source rules.nebraska.gov

  7. License Information System (LIS) license lookup

    Nebraska DHHS, Division of Public Health, Licensure Unit

    NOT SCREENED YET Paid access
    WHEN
    AT HIRE Before staff assume their duties, and status kept checked throughout employment
    BASIS
    175 NAC 12-006.04(A)(i); 42 CFR 483.12(a)(3)(iii)

    Staff credentials are to be verified prior to staff assuming assigned job duties, and the licensee must maintain evidence that such status is checked and maintained throughout the entire time of employment.

    Read the source rules.nebraska.gov

  8. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly (Medicaid-enrolled facilities)
    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 unsupervised contact with residents
    BASIS
    One way to run the criminal background check 175 NAC 12-006.04(A)(iii)(1) requires; the rule accepts any governmental law enforcement agency or private entity and names no source

Also required

Not registry lookups; ezOIG doesn't run these
  • Criminal background check through a governmental law enforcement agency or a private entity, before unsupervised contact with residents (175 NAC 12-006.04(A)(iii)(1))
  • Health history screening before staff assume job duties (175 NAC 12-006.04(A)(ii))
  • Before anyone serves as a nurse aide, information sought from every other state's nurse aide registry the facility believes holds information on them (42 CFR 483.35(d)(5))
  • Nurse aide training course completed within 120 days of starting work as a nurse aide (Neb. Rev. Stat. 71-6039(1)(c); 42 CFR 483.35(d))
  • Fingerprint-based criminal background screening of staff not screened by Maximus when the facility is enrolled as high risk, at hire and at revalidation (Nebraska Medicaid Provider Manual 3.7.5)

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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