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NORTH CAROLINA · CARE PROGRAM

Adult Care Homes and Family Care Homes (assisted living)

Every staff person of a licensed adult care home or family care home (two to six residents), whose staff rules are identical; multiunit assisted housing with services uses licensed home care or hospice agencies for care.

ADULT CARE HOME · ON FILE
Registries named
5
Required
3
Expected
2
Screened by ezOIG
4 of 5
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 (homes enrolled in NC Medicaid, e.g. to bill PCS under policy 3L-1)
    BASIS
    NC DHHS Provider Administrative Participation Agreement § 6 (Disclosure)

    The Provider agrees to screen all its employees, contractors, and contractor’s employees monthly using the List of Excluded Individuals/Entities (LEIE) database and System for Awards Management (SAM) Exclusion List to determine whether any of its employees, contractors, and contractor’s employees is excluded from participation in Medicare, Medicaid, or other federal health care programs.

    Read the source nctracks.nc.gov

  2. N.C. Health Care Personnel Registry

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE At hire, every staff person
    BASIS
    10A NCAC 13F .0407(a)(5); 10A NCAC 13G .0406(a)(5); G.S. 131E-256(b)(1), (d2)

    Each staff person at an adult care home shall: ... (5) have no findings listed on the North Carolina Health Care Personnel Registry according to G.S. 131E-256;

    Read the source reports.oah.state.nc.us

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly (homes enrolled in NC Medicaid, e.g. to bill PCS under policy 3L-1)
    BASIS
    NC DHHS Provider Administrative Participation Agreement § 6 (Disclosure)

    The Provider agrees to screen all its employees, contractors, and contractor’s employees monthly using the List of Excluded Individuals/Entities (LEIE) database and System for Awards Management (SAM) Exclusion List to determine whether any of its employees, contractors, and contractor’s employees is excluded from participation in Medicare, Medicaid, or other federal health care programs.

    Read the source nctracks.nc.gov

Expected checks

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

  1. NC Medicaid State Excluded Provider List

    NC Medicaid (Division of Health Benefits), Office of Compliance and Program Integrity

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Published monthly by NC Medicaid; no rule found naming it for staff screening (the participation agreement names only the LEIE and SAM)

  2. Statewide criminal record search (North Carolina court records)

    North Carolina Administrative Office of the Courts

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Within five business days of a conditional offer, positions without an occupational licence
    BASIS
    One way to run the State criminal history check G.S. 131D-40(a) and 10A NCAC 13F .0407(a)(7) require (a private entity using State public records); neither names a source

Also required

Not registry lookups; ezOIG doesn't run these
  • State criminal history check; State and national fingerprint check if resident in North Carolina under five years (G.S. 131D-40(a); 10A NCAC 13F .0407(a)(7), 13G .0406(a)(7))
  • Examination and screening for controlled substances (G.S. 131D-45; 10A NCAC 13F .0407(a)(8), 13G .0406(a)(8))
  • TB test (10A NCAC 13F .0406) and documented annual influenza immunization (G.S. 131D-9)
  • Medication aide training, clinical skills validation and State exam (G.S. 131D-4.5B; 10A NCAC 13F .0403)

Why some registries are not screened yet

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 North Carolina'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 NC Medicaid (Division of Health Benefits, NC Department of Health and Human Services) or your own counsel before relying on it.

Screen for North Carolina Adult Care Home.

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

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