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TEXAS · CARE PROGRAM

Nursing Facility

Licensed nursing facilities; the DPS criminal check covers every employee, licensed or not (Tex. Health & Safety Code § 250.003(a-1)), and the registry checks cover unlicensed employees and nurse aides.

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

    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, every employee; an emergency hire's check must be requested within 24 hours
    BASIS
    Tex. Health & Safety Code §§ 250.003-250.004; 26 TAC § 554.1921(k)

    Identifying information of an employee in a covered facility or of an employee of an individual employer shall be submitted electronically, on disk, or on a typewritten form to the Department of Public Safety to obtain the person's criminal conviction record when the person applies for employment and at other times as the facility or individual employer may determine appropriate.

    Read the source tcss.legis.texas.gov

  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 § 554.1921(l), (o)

    Before a facility hires an unlicensed 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 whether the individual is designated 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, then at least every 12 months; registry verification before anyone serves as a nurse aide
    BASIS
    26 TAC § 554.1921(l), (o); 42 CFR 483.35(d)(4)

    Before a facility hires an unlicensed 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 whether the individual is designated 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
    BASIS
    26 TAC § 554.601(c)(1)(B)(iv); 42 CFR 483.12(a)(3)(iii)

    a disciplinary action in effect against the individual's professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of a resident or misappropriation of a resident's property

    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
  • Nurse aides: check every other state's nurse aide registry the facility believes holds information on the individual (42 CFR 483.35(d)(5))
  • Nurse aide training and competency evaluation; retraining after 24 consecutive months without paid nursing work (42 CFR 483.35(d)(6))
  • Written information about the EMR to each employee (26 TAC § 554.1921(n); § 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.

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