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NORTH CAROLINA · CARE PROGRAM

Nursing Home

Nursing home staff: nurse aides and medication aides, other unlicensed staff with access to residents, and licensed professional staff.

NURSING FACILITY · ON FILE
Registries named
8
Required
6
Expected
2
Screened by ezOIG
6 of 8
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. Nurse Aide I Registry

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    AT HIRE Before anyone serves as a nurse aide; also seek information from every other state registry believed to hold the person
    BASIS
    42 CFR 483.35(d)(4)-(5); 42 CFR 483.12(a)(3)(ii), incorporated by 10A NCAC 13D .2210(a)

    (4) Registry verification. Before allowing an individual to serve as a nurse aide, a facility must receive registry verification that the individual has met competency evaluation requirements ... (5) Multi-State registry verification. Before allowing an individual to serve as a nurse aide, a facility must seek information from every State registry

    Read the source ecfr.gov

  3. N.C. Medication Aide Registry for Nursing Homes

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    AT HIRE Before anyone serves as a medication aide
    BASIS
    G.S. 131E-270(b)

    Before allowing an individual to serve as a medication aide, an employer shall access the Medication Aide Registry to verify that the individual is listed on the Registry and shall note each incidence of access in the appropriate business file.

    Read the source ncleg.gov

  4. N.C. Health Care Personnel Registry

    NC DHHS Division of Health Service Regulation

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE Before hiring unlicensed staff with direct access to residents or their property, including medication aides
    BASIS
    G.S. 131E-256(b)(6), (c), (d2); G.S. 131E-270(c)

    Before hiring health care personnel into a health care facility or service, every employer at a health care facility shall access the Health Care Personnel Registry and shall note each incident of access in the appropriate business files.

    Read the source ncleg.gov

  5. Licence verification (North Carolina Board of Nursing and other licensing boards)

    North Carolina Board of Nursing

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire, professional staff
    BASIS
    10A NCAC 13D .2211(c), (f); 42 CFR 483.12(a)(3)(iii)

    (c) Professional staff shall be licensed, certified, or registered according to Article 1 of Chapter 90 of the N.C. General Statutes. ... (f) The facility shall maintain an individual personnel record for each employee, including verification of credentials.

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

  6. 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 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. 131E-265(a) requires (a private entity using State public records); the statute names no source

Also required

Not registry lookups; ezOIG doesn't run these
  • State criminal history check for applicants to positions without an occupational licence; State and national fingerprint check if resident in North Carolina under five years (G.S. 131E-265(a))
  • No employment of anyone found guilty by a court of abuse, neglect, exploitation, misappropriation of property or mistreatment (42 CFR 483.12(a)(3)(i))
  • Nurse aide training and competency evaluation; an unlisted aide may work up to four months (42 CFR 483.35(d); G.S. 131E-255(f))
  • Medication aide training and State competency exam (G.S. 131E-270(a))

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
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.

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