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TEXAS · CARE PROGRAM

Home Health Agency (HCSSA, licensed home health services)

Home and community support services agencies licensed for home health, Medicare-certified or not; the criminal and registry checks cover unlicensed staff and volunteers with face-to-face client contact.

HOME HEALTH · 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
    Texas Medicaid Provider Procedures Manual, Vol. 1, § 1.3.1

    Providers must search the LEIE website monthly to capture any exclusions or reinstatements that have occurred since the last search.

    Read the source tmhp.com

  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
    1 TAC § 371.1655(25); TMPPM Vol. 1, § 1.3.1

    fails to screen all employees and contractors for exclusions from the Medicaid or other HHS program on a monthly basis and to confirm that no employees or contractors are excluded individuals or entities

    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, unlicensed staff with face-to-face client contact; volunteers before first contact
    BASIS
    26 TAC § 558.247(a)(1), (b)(1); Tex. Health & Safety Code § 250.004

    An agency must conduct a criminal history check authorized by, and in compliance with, Texas Health and Safety Code Chapter 250 (relating to Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly, Persons with Disabilities, or Persons with Terminal Illnesses) for an unlicensed applicant for employment

    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 first face-to-face client contact, then at least every 12 months
    BASIS
    26 TAC § 558.247(a)(3), (a)(5); Tex. Health & Safety Code § 253.008

    Before the agency hires an unlicensed applicant, or before an unlicensed employee's first face-to-face contact with a client, the agency must search the nurse aide registry (NAR) and the employee misconduct registry (EMR) using the HHSC website to determine if the applicant or employee is listed in either registry as unemployable.

    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 first face-to-face client contact, then at least every 12 months
    BASIS
    26 TAC § 558.247(a)(3), (a)(5); Tex. Health & Safety Code § 250.003(d)

    Before the agency hires an unlicensed applicant, or before an unlicensed employee's first face-to-face contact with a client, the agency must search the nurse aide registry (NAR) and the employee misconduct registry (EMR) using the HHSC website to determine if the applicant or employee is listed in either registry as unemployable.

    Read the source law.cornell.edu

  6. Texas Board of Nursing License Verification

    Texas Board of Nursing

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE At hire, licensed staff; kept current in the personnel record
    BASIS
    26 TAC § 558.246(a)(3)

    verification of license, permits, references, job experience, and educational requirements, as conducted by the agency to verify qualifications for each position accepted

    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
  • Home health aide qualification: training and competency evaluation, competency evaluation, qualifying experience or an NAR listing with no finding (26 TAC § 558.701; 42 CFR 484.80)
  • Written information about the EMR to each unlicensed employee within five working days of hire (26 TAC § 561.3(c); § 558.247(a)(4))
  • Personnel record verification of references, job experience and education (26 TAC § 558.246(a)(3))

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.

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