TEXAS · CARE PROGRAM
Personal Attendant Services (PHC, CAS, FC and CFC, agency option)
HCSSA agencies licensed for personal assistance services that deliver Primary Home Care, Community Attendant Services, Family Care and Community First Choice attendant care; checks cover attendants and other unlicensed staff with client contact.
- 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 agencyList 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
- 26 TAC § 52.107(f) (PHC, CAS, FC contractors); 1 TAC § 371.1655(25)
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
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
- 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
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
- BASIS
- 26 TAC § 52.107(a); § 558.247(a)(1)
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
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
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
Texas Board of Nursing License Verification
Texas Board of Nursing
SCREENED BY EZOIG License verification- WHEN
- AT HIRE At hire, licensed staff such as a supervising nurse
- 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
Debarred Vendor List
Texas Comptroller of Public Accounts
SCREENED BY EZOIG Read with the state's exclusion list check- WHEN
- AT HIRE Before hire
- 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 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- Attendant at least 18 (or a qualifying younger person) with demonstrated competency (26 TAC § 558.404(c); § 277.23)
- Attendant not the individual's spouse (except Family Care) nor a parent of a minor in CAS, and not marked 'Do not hire' on HHSC's Authorization for Community Care Services form (26 TAC § 277.23)
- Base-wage notice to each personal attendant within three days of hire (26 TAC § 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 PAS.
Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.