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TENNESSEE · CARE PROGRAM

Assisted-Care Living Facilities, Homes for the Aged and Adult Care Homes

Staff of HFC-licensed residential facilities; merged because all three carry the same abuse registry bar and the T.C.A. § 68-11-271 registry check. DDA-licensed Tier 1 homes (three beds or fewer) follow the DDA checks instead.

ASSISTED LIVING · ON FILE
Registries named
7
Required
2
Expected
5
Screened by ezOIG
2 of 7
Rules checked
October 15, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. Registry of Persons Who Have Abused, Neglected, Misappropriated, or Exploited the Property of Vulnerable Individuals (Abuse Registry)

    Tennessee Health Facilities Commission

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE Before hire, all employees
    BASIS
    Tenn. Comp. R. & Regs. 0720-26-.06(1)(a)6 (ACLF), 0720-21-.04(6)(c) (homes for the aged), 0720-37-.05(1)(h) (adult care homes); T.C.A. § 68-11-1004

    An ACLF may not employ an individual listed on the Abuse Registry maintained by the Department of Health.

    Read the source publications.tnsosfiles.com

  2. National Sex Offender Public Website

    U.S. Department of Justice

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE Before hire or contract, direct care staff; every state lived in during the previous 7 years
    BASIS
    T.C.A. § 68-11-271(a)(1), (b)

    A state-by-state look in any state in which the person has lived in the previous seven (7) years of the national sex offender public registry website coordinated by the United States department of justice

    Read the source codes.findlaw.com

Expected checks

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

  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
    BASIS
    Required by TennCare's MCO contract (§ A.2.20.1.17) only for facilities (CHOICES community-based residential alternatives) that bill TennCare

  2. TennCare Terminated Provider List (TTPL)

    Division of TennCare, Office of Program Integrity

    NOT SCREENED YET The registry blocks automated access
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Required by TennCare's MCO contract (§ A.2.20.1.17) only for facilities (CHOICES community-based residential alternatives) that bill TennCare

  3. Felony Offender Information Lookup (FOIL)

    Tennessee Department of Correction

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE Before direct contact
    BASIS
    TennCare MCO Statewide Contract § A.2.29.2.2, for facilities serving CHOICES members

  4. Tennessee Sex Offender Registry

    Tennessee Bureau of Investigation

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE Before direct contact
    BASIS
    TennCare MCO Statewide Contract § A.2.29.2.2, for facilities serving CHOICES members

  5. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Required by TennCare's MCO contract (§ A.2.20.1.17) only for facilities (CHOICES community-based residential alternatives) that bill TennCare

Also required

Not registry lookups; ezOIG doesn't run these
  • Adult abuse registries of every other state lived in during the previous seven years (T.C.A. § 68-11-271(a)(2))
  • Criminal background check for the ACLF administrator at certification (Tenn. Comp. R. & Regs. 0720-26-.03)

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.
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.

Guidance, not legal advice

This page summarizes ezOIG's research into Tennessee's rules for this program, checked against the regulations as of October 15, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Division of TennCare (Tennessee Department of Finance and Administration) or your own counsel before relying on it.

Screen for Tennessee Assisted Living.

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

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