Caregiver background check rules in Illinois

Yes. Illinois requires a criminal background check before a caregiver works with clients, using fingerprints. Before hiring, the employer must check the Health Care Worker Registry. If the applicant has no prior check or is not active on the registry, the employer must start a fingerprint-based criminal history records check. People with disqualifying convictions cannot work in direct care unless IDPH grants a waiver.

What does the check include?

What should you confirm with the state?

The $1,500 figure is the legal maximum; the Illinois Department of Public Health sets the actual fee. Confirm the current fee and license renewal period with IDPH. Placement agencies hold a separate license and require at least 8 hours of training before a worker's first assignment.

What other checks should you run?

Agencies that bill Medicaid or Medicare should also check the HHS Office of Inspector General exclusion list before hire and monthly, because payments for services by an excluded person can be recovered. If you use a background screening company, the Fair Credit Reporting Act requires written disclosure and the applicant's authorization first.