NORTH CAROLINA · CARE PROGRAM
State Plan Personal Care Services (PCS)
In-home aides and staff of licensed home care agencies billing NC Medicaid for personal care in private residences (policy 3L); private-pay in-home aide services follow the same licensure rules without the Medicaid duties.
- Registries named
- 7
- Required
- 5
- Expected
- 2
- Screened by ezOIG
- 5 of 7
- Rules checked
- October 16, 2026
Required checks
Named by a regulation, a statute or the state's Medicaid agencyList 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 (PCS providers sign the participation agreement, policy 3L § 6.0)
- 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
N.C. Health Care Personnel Registry
NC DHHS Division of Health Service Regulation
SCREENED BY EZOIG Abuse registry search- WHEN
- AT HIRE Before hire, in-home aides
- BASIS
- NC Medicaid Clinical Coverage Policy 3L § 7.10(c)(2); 10A NCAC 13J .1003(c); G.S. 131E-256(d2)
The PCS provider shall ensure that: ... In-Home Aides hired are not listed on the North Carolina Health Care Registry as having a substantiated finding in accordance to the health care personnel registry G.S. 131E-256;
Read the source medicaid.ncdhhs.gov
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, in-home aides whose plan of care calls for extensive assistance
- BASIS
- 10A NCAC 13J .1107(b)
If the client's plan of care requires the in-home aide to provide extensive assistance, the in-home aide shall be listed on the Nurse Aide Registry pursuant to G.S. 131E-255.
Read the source reports.oah.state.nc.us
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, licensed staff such as RN supervisors
- BASIS
- 10A NCAC 13J .1003(f)(8)
Personnel records shall be established and maintained for each home care employee. ... The records shall include the following: ... (8) verification of employees' credentials as applicable;
Read the source reports.oah.state.nc.us
SAM.gov exclusions
General Services Administration
SCREENED BY EZOIG Federal exclusion check against SAM.gov- WHEN
- MONTHLY At hire and monthly (PCS providers sign the participation agreement, policy 3L § 6.0)
- 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 outrightNC 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)
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 hire, in-home aides
- BASIS
- One way to run the criminal background check policy 3L § 7.10(c)(1) and G.S. 131E-265(a) require; neither names a source
Also required
Not registry lookups; ezOIG doesn't run these- Criminal background check on every in-home aide before hire, as licensure requires (Clinical Coverage Policy 3L § 7.10(c)(1); G.S. 131E-265)
- Medicaid does not pay for PCS by anyone with the convictions or Health Care Registry findings listed in policy 3L § 6.0
- Aide training in the policy 3L § 6.1.2 content areas, competency evaluation and RN supervision (10A NCAC 13J .1110)
- Baseline TB skin test for hands-on care employees (10A NCAC 13J .1003(b))
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.
Screen for North Carolina PCS.
Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.