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NORTH CAROLINA · CARE PROGRAM

Community Alternatives Program waivers (CAP/DA and CAP/C)

Workers of CAP/DA (adults) and CAP/C (children) providers, including in-home aides, live-in coordinated caregivers and consumer-directed personal assistants, whose checks the financial manager verifies; the two policies set the same checks.

CAP/DA, CAP/C · ON FILE
Registries named
6
Required
4
Expected
2
Screened by ezOIG
5 of 6
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 (providers enrolled in NC Medicaid)
    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 Before rendering services; for consumer-directed assistants, verified by the financial manager
    BASIS
    NC Medicaid Clinical Coverage Policy 3K-2 §§ 6.1, 6.5(e), 6.5.12(e); 3K-1 § 6.1

    The CAP/DA Direct and Coordinated Caregiving service providers shall attest that hired workers have a criminal history and health care registry check free from the offenses found in Appendix B prior to rendering CAP/DA services.

    Read the source medicaid.ncdhhs.gov

  3. N.C. Nurse Aide I Registry

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    AT HIRE At hire, aides delivering nurse aide services (not consumer-directed)
    BASIS
    NC Medicaid Clinical Coverage Policy 3K-2, Appendix B (CAP In-Home Aide II Service); 3K-1 § 6.6.4 (in-home respite)

    Nurse Aide services shall not be provided by personal care aides or home health aides not registered with DHSR, unless participation in the CAP/DA is through consumer direction.

    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 (providers enrolled in NC Medicaid)
    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 Before rendering services
    BASIS
    One way to run the criminal history check policy 3K-2 § 6.1 requires (and G.S. 131E-265 for home care agencies); neither names a source

Also required

Not registry lookups; ezOIG doesn't run these
  • Criminal history check free of the offences listed in the policy before rendering services (3K-2 § 6.1 and Appendix B; 3K-1 § 6.1)
  • Competency of in-home aides and live-in caregivers; driver's licence and liability insurance for approved transporters (Clinical Coverage Policy 3K-2 § 6.5)

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 CAP/DA, CAP/C.

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

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