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NORTH DAKOTA · CARE PROGRAM

Nursing Facility

Everyone a licensed nursing facility (NDAC 33-07-03.2) employs or engages; registry verification before anyone serves as a nurse aide. No North Dakota law requires a criminal background check for nursing facility staff.

NURSING FACILITY · ON FILE
Registries named
6
Required
3
Expected
3
Screened by ezOIG
4 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
    AT HIRE At hire, then on a routine basis (the agreement sets no interval)
    BASIS
    ND Medicaid Program Provider Agreement (SFN 615, 9-2025), section 12, Provider Screening; 42 CFR 1001.1901

    All current providers and providers applying to participate in the Medicaid program agree to screen their employees and contractors per Federal Regulations under 42 CFR 455.436. ... Search the HHS-OIG website by names of any individual or entity ... Continue to screen employees/contractors on a routine basis and immediately report any findings to the Department.

    Read the source nd.gov

  2. North Dakota Nurse Aide Registry

    North Dakota Department of Health and Human Services, Health Facilities Unit

    SCREENED BY EZOIG Checked against the published list of nurse aides with findings; certification is not verified
    WHEN
    AT HIRE Before anyone serves as a nurse aide, and before hire for findings; aides in training may work up to four months before registry status
    BASIS
    42 CFR 483.35(d)(4); 42 CFR 483.12(a)(3)(ii); NDAC 33-07-03.2-07(3)(b); NDAC 33-43-01-11(1)

    Before allowing an individual to serve as a nurse aide, a facility must receive registry verification that the individual has met competency evaluation requirements

    Read the source ecfr.gov

  3. North Dakota Board of Nursing License Verification

    North Dakota Board of Nursing

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Before hire, licensed staff
    BASIS
    NDAC 33-07-03.2-07(3)(b), (c); 42 CFR 483.12(a)(3)(iii)

    Provisions for checking state registries and licensing boards for current licensure or registry status and history of disciplinary actions prior to employment.

    Read the source ndlegis.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. North Dakota Medicaid Provider Exclusion List

    North Dakota Department of Health and Human Services, Medical Services Division

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    AT HIRE At hire and while employed (no interval set)
    BASIS
    Expected for ND Medicaid providers: NDAC 75-02-05-07(13) bars claims for services by anyone under exclusion in North Dakota, and SFN 615 section 4 requires screening all employees and contractors for exclusion, but neither names the ND list as a lookup

    A clinic, group, corporation, or other organization which is a provider may not submit claims for payment to the department or its fiscal agent for any services or supplies provided by a person within the clinic, group, corporation, or organization who has been terminated or is under exclusion from participation in this state or any other state

    Read the source ndlegis.gov

  2. North Dakota Criminal History Record Check (BCI)

    North Dakota Office of Attorney General, Bureau of Criminal Investigation

    NOT SCREENED YET Checked by request to the agency
    WHEN
    AT HIRE Before hire
    BASIS
    42 CFR 483.12(a)(3)(i) bars employing anyone a court found guilty of abuse, neglect, exploitation, misappropriation or mistreatment; no North Dakota rule requires a criminal check for nursing facility staff

    Not employ or otherwise engage individuals who— (i) Have been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law;

    Read the source ecfr.gov

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    AT HIRE At hire, then routinely
    BASIS
    Standard practice for ND Medicaid providers; no rule names SAM for employees

Also required

Not registry lookups; ezOIG doesn't run these
  • Before anyone serves as a nurse aide, information from every other state's nurse aide registry the facility believes holds information on the individual (42 CFR 483.35(d)(5))
  • Certified nurse aide training and competency evaluation within four months of hire (42 CFR 483.35(d); NDAC 33-43-01-04, 33-43-01-11(1)(a))

Why some registries are not screened yet

The registry's terms forbid automated searches
The registry's terms, or the law behind it, rule out automated or third-party searches, so ezOIG doesn't run them.
Checked by request to the agency
The agency answers a written request or form rather than an online search.

Guidance, not legal advice

This page summarizes ezOIG's research into North Dakota'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 North Dakota Department of Health and Human Services, Medical Services Division (ND Medicaid); HHS Aging Services and the Developmental Disabilities Section run the HCBS waivers or your own counsel before relying on it.

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