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TEXAS · CARE PROGRAM

Hospice (HCSSA, licensed hospice services)

Licensed hospice agencies, including inpatient units; the criminal check covers every employee and volunteer with direct client contact or access to client records, licensed or not.

HOSPICE · ON FILE
Registries named
8
Required
7
Expected
1
Screened by ezOIG
7 of 8
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 Medicaid hospice contractors)
    BASIS
    26 TAC § 52.107(f); TMPPM Vol. 1, § 1.3.1

    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 Medicaid hospice contractors)
    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 Every employee and volunteer with direct client contact or access to client records; before hire for unlicensed staff (§ 558.247)
    BASIS
    26 TAC § 558.855(a), § 558.247(a)(1); 42 CFR 418.114(d)

    a hospice must conduct a criminal history check on all hospice employees and volunteers with direct client contact or access to client records to verify each employee's or volunteer's criminal history report does not include a conviction that bars employment under Texas Health and Safety Code § 250.006

    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 (unlicensed staff and volunteers)
    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 (unlicensed staff and volunteers)
    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

  7. 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 Medicaid hospice contractors)
    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
  • Hospice aide training and competency evaluation (26 TAC § 558.843; 42 CFR 418.76)
  • Contracts for inpatient care must require the contracted entity to run criminal history checks on its staff with client contact or record access (26 TAC § 558.855(b); 42 CFR 418.114(d))
  • Written information about the EMR to each unlicensed employee within five working days of hire (26 TAC § 561.3(c))

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 Hospice.

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

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