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TEXAS · CARE PROGRAM

Adult Foster Care (AFC)

HHSC-contracted adult foster care homes: the provider, substitute providers and any employees; homes for four to eight residents also hold an assisted living licence and follow those rules.

AFC · ON FILE
Registries named
7
Required
6
Expected
1
Screened by ezOIG
6 of 7
Rules checked
October 15, 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
    BASIS
    26 TAC § 52.107(f)

    A contractor must: (1) review the LEIE maintained by the United States Department of Health and Human Services, Office of Inspector General, and the LEIE maintained by the HHSC Office of Inspector General: (A) before hiring an applicant for employment or contracting with a potential subcontractor; and (B) at least monthly, for each employee and subcontractor;

    Read the source law.cornell.edu

  2. HHSC-OIG Exclusions List (Texas Medicaid List of Excluded Individuals/Entities)

    Texas Health and Human Services Commission, Office of Inspector General

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    26 TAC § 52.107(f)

    A contractor must: (1) review the LEIE maintained by the United States Department of Health and Human Services, Office of Inspector General, and the LEIE maintained by the HHSC Office of Inspector General: (A) before hiring an applicant for employment or contracting with a potential subcontractor; and (B) at least monthly, for each employee and subcontractor;

    Read the source law.cornell.edu

  3. Criminal History Conviction Name Search (Computerized Criminal History, CCH)

    Texas Department of Public Safety, Crime Records Division

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before hiring or contracting with unlicensed staff and before accepting unlicensed volunteers who interact with residents; no one barred under ch. 250 may be the provider or provide AFC services
    BASIS
    26 TAC § 52.107(b)(1)-(2); §§ 278.103(b), 278.107; Tex. Health & Safety Code § 250.001(3)(F)

    before offering employment to an unlicensed applicant for employment or contracting with an unlicensed potential subcontractor, obtain directly or through a private agency the criminal history record of the applicant or potential subcontractor from the Department of Public Safety (DPS)

    Read the source law.cornell.edu

  4. Employee Misconduct Registry (EMR)

    Texas Health and Human Services Commission

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE Before hire or contract, then at least every 12 months
    BASIS
    26 TAC § 52.107(c)(1), (c)(5); Tex. Health & Safety Code § 253.008

    before offering employment to an unlicensed applicant for employment or contracting with an unlicensed potential subcontractor, search the HHSC employee misconduct registry and the HHSC nurse aide registry for the name of the applicant or potential subcontractor

    Read the source law.cornell.edu

  5. Nurse Aide Registry (NAR)

    Texas Health and Human Services Commission

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    AT HIRE Before hire or contract, then at least every 12 months
    BASIS
    26 TAC § 52.107(c)(1), (c)(5)

    before offering employment to an unlicensed applicant for employment or contracting with an unlicensed potential subcontractor, search the HHSC employee misconduct registry and the HHSC nurse aide registry for the name of the applicant or potential subcontractor

    Read the source law.cornell.edu

  6. Debarred Vendor List

    Texas Comptroller of Public Accounts

    SCREENED BY EZOIG Read with the state's exclusion list check
    WHEN
    AT HIRE Before hire or contract
    BASIS
    26 TAC § 52.107(d)

    before contracting with a potential subcontractor or offering employment to an applicant for employment, search the Debarred Vendor List maintained by the Texas Comptroller of Public Accounts

    Read the source law.cornell.edu

Expected checks

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

  1. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Texas Medicaid providers; no Texas rule names SAM.gov for these workers

Also required

Not registry lookups; ezOIG doesn't run these
  • Tuberculosis examination within six months before enrollment (26 TAC § 278.103(a)(4))
  • Three references from unrelated persons for the provider and substitute (26 TAC § 278.103(a)(7))
  • Statement of felony or misdemeanor convictions and pending charges, updated when it changes (26 TAC § 278.103(a)(12))
  • Written notice that EMR-listed people cannot work there, within five business days of hire (26 TAC § 52.107(c)(4))

Why some registries are not screened yet

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 Texas'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 Texas Health and Human Services Commission or your own counsel before relying on it.

Screen for Texas AFC.

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

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