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TEXAS · CARE PROGRAM

Assisted Living Facility (incl. Residential Care contracts)

Licensed assisted living facilities, including those holding HHSC assisted living or residential care contracts; the DPS check covers every employee, licensed or not.

ASSISTED LIVING · 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 (HHSC-contracted facilities)
    BASIS
    26 TAC § 276.11(a); § 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 (HHSC-contracted facilities)
    BASIS
    26 TAC § 276.11(a); § 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 hire, every employee
    BASIS
    26 TAC § 553.257(a)(1), (b)(1); Tex. Health & Safety Code § 250.004

    A facility must keep current and complete personnel records on a facility employee for review by HHSC staff including: (1) documentation that the facility performed a criminal history check;

    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, then at least every 12 months
    BASIS
    26 TAC § 553.257(b)(2), (b)(5)

    Before a facility hires an employee, the facility must search the employee misconduct registry (EMR) established under § 253.007, Texas Health and Safety Code, and the HHSC nurse aide registry (NAR) to determine if the individual is designated in either registry as unemployable based on employee misconduct.

    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, then at least every 12 months
    BASIS
    26 TAC § 553.257(b)(2), (b)(5)

    Before a facility hires an employee, the facility must search the employee misconduct registry (EMR) established under § 253.007, Texas Health and Safety Code, and the HHSC nurse aide registry (NAR) to determine if the individual is designated in either registry as unemployable based on employee misconduct.

    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 (HHSC-contracted facilities)
    BASIS
    26 TAC § 276.11(a); § 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
  • Name-based criminal history check in every other state the applicant lived in during the past five years (26 TAC § 553.257(b)(7))
  • Signed disclosure of any Tex. Health & Safety Code § 250.006 conviction and of out-of-state residence in the past five years (26 TAC § 553.257(a)(7))
  • Initial tuberculosis screening (26 TAC § 553.257(a)(4))
  • Written information about the EMR to each employee (26 TAC § 553.257(b)(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 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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