TEXAS · CARE PROGRAM
Home and Community-based Services (HCS) waiver
HCS program providers (IDD waiver, exempt from HCSSA licensing): staff members, service providers including host home/companion care, contractors and volunteers.
- Registries named
- 9
- Required
- 8
- Expected
- 1
- Screened by ezOIG
- 8 of 9
- Rules checked
- October 15, 2026
Required checks
Named by a regulation, a statute or the state's Medicaid agencyList of Excluded Individuals/Entities
HHS Office of Inspector General
SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list- WHEN
- MONTHLY Before hire or contract, then monthly
- BASIS
- 26 TAC § 565.9(b)(6); § 52.107(f)
search the following registries before hire or execution of a contract and every month thereafter to determine if an employee or contractor is eligible for employment: (A) the List of Excluded Individuals and Entities maintained by the United States Department of Health and Human Services;
Read the source law.cornell.edu
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 Before hire or contract, then monthly
- BASIS
- 26 TAC § 565.9(b)(6); § 52.107(f)
every month thereafter to determine if an employee or contractor is eligible for employment: (A) the List of Excluded Individuals and Entities maintained by the United States Department of Health and Human Services; and (B) the List of Excluded Individuals and Entities maintained by the Texas Health and Human Services Commission (HHSC) Office of Inspector General
Read the source law.cornell.edu
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 or contract
- BASIS
- 26 TAC § 565.9(b)(3); § 52.107(b)
obtain the criminal history record of the potential staff member or potential contractor from the Texas Department of Public Safety directly or through a private agency before hiring or contracting with the potential staff member
Read the source law.cornell.edu
Texas Public Sex Offender Registry
Texas Department of Public Safety
SCREENED BY EZOIG Sex offender registry check- WHEN
- AT HIRE Before hire or contract
- BASIS
- 26 TAC § 565.9(b)(4)(B)
not employ or contract with a potential staff member, service provider, or volunteer who: (A) has been convicted of an offense listed, and for the time periods set forth, in Texas Health and Safety Code § 250.006; (B) is a registered sex offender;
Read the source law.cornell.edu
Employee Misconduct Registry (EMR)
Texas Health and Human Services Commission
SCREENED BY EZOIG Abuse registry search- WHEN
- AT HIRE Before hire or contract, then every 12 months
- BASIS
- 26 TAC § 565.9(b)(5); Tex. Health & Safety Code § 253.008
search the following registries before hire or execution of a contract and every 12 months thereafter to determine if a staff member or service provider is eligible for employment: (A) the Employee Misconduct Registry; and (B) the Nurse Aide Registry;
Read the source law.cornell.edu
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 every 12 months
- BASIS
- 26 TAC § 565.9(b)(5)
search the following registries before hire or execution of a contract and every 12 months thereafter to determine if a staff member or service provider is eligible for employment: (A) the Employee Misconduct Registry; and (B) the Nurse Aide Registry;
Read the source law.cornell.edu
Texas Board of Nursing License Verification
Texas Board of Nursing
SCREENED BY EZOIG License verification- WHEN
- AT HIRE Nursing, dental and therapy providers, at hire and while serving
- BASIS
- 26 TAC § 565.7(c)(2)(A)
the service provider continues to be licensed and in good standing with its licensing board during the provision of services to an individual
Read the source law.cornell.edu
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 § 565.9(b)(1); § 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 outrightSAM.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- Valid driver's licence and insurance for anyone who transports individuals (26 TAC § 565.9(c))
- Training specific to each individual's needs before service and at least every 12 months (26 TAC § 565.7(b)(2)(A))
- CFC PAS/HAB providers at least 18, with a diploma or proficiency evaluation, and not the individual's spouse or a minor's parent (26 TAC § 565.7(e))
- Base-wage notice to personal attendants (26 TAC § 565.9(b)(2); § 52.123)
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 HCS.
Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.