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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.

PCS · ON FILE
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 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 (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

  2. 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

  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, 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

  4. 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

  5. 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 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 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.