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NORTH CAROLINA · CARE PROGRAM

Adult Day Care and Adult Day Health

Newly hired employees of adult day care and adult day health programs certified by the Division of Aging and Adult Services; adult day health programs must meet the adult day care staff rule too.

ADULT DAY · ON FILE
Registries named
5
Required
1
Expected
4
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. 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 At hire, newly hired employees; covers the past five years
    BASIS
    10A NCAC 06R .0305(a)(3); 10A NCAC 06S .0204(a)

    There shall be a Statewide criminal history records search of all newly-hired employees of adult day care programs for the past five years conducted by an agency contracted with the North Carolina Administrative Office of the Courts.

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

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
    BASIS
    The participation agreement (§ 6) requires monthly screening of centers enrolled in NC Medicaid, such as adult day health billed through CAP/DA; centers not enrolled have no such duty

  2. 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)

  3. N.C. Health Care Personnel Registry

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE At hire (centers rendering CAP/DA adult day health)
    BASIS
    Required of every provider rendering CAP/DA services, adult day health centers included (Clinical Coverage Policy 3K-2 §§ 6.5(e), 6.5.1); adult day programs are not health care facilities under G.S. 131E-256(b), so centers outside CAP/DA have no such duty

    Each qualified provider must adhere to the following when selected to render a CAP/DA service: ... e. attest that hired workers successfully pass a background check that includes a health care registry.

    Read the source medicaid.ncdhhs.gov

  4. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    The participation agreement (§ 6) requires monthly screening of centers enrolled in NC Medicaid, such as adult day health billed through CAP/DA; centers not enrolled have no such duty

Also required

Not registry lookups; ezOIG doesn't run these
  • Evidence of the State criminal history check in each direct-care employee's personnel record, with medical certification of no health condition posing a risk to others (10A NCAC 06R .0508)
  • Statewide criminal history search for the owner and proposed direct-care staff at certification (10A NCAC 06R .0601; 06S .0501)
  • First aid and CPR for staff giving direct participant care (10A NCAC 06R .0601)
  • Nurse aide, home health aide or equivalent training for adult day health staff giving personal care (10A NCAC 06S .0204(d))

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 Day.

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

Start a trial with North Carolina Adult Day preselected All North Carolina programs