Caregiver background check rules in Kentucky

Yes. Kentucky requires a criminal background check before a caregiver works with clients. Before a person manages or provides direct services, the agency must complete a criminal record check (Justice and Public Safety Cabinet or Administrative Office of the Courts), registry checks, a substance abuse test, and a TB risk assessment (repeated yearly). Certain convictions, a registry listing, or a positive illegal drug test bar employment.

What does the check include?

What should you confirm with the state?

The 6-hour initial and 3-hour annual training requirements apply only to staff serving clients with dementia. The regulation doesn't say whether criminal checks must be fingerprint-based. No bond is required, but your service agreement must disclose whether the agency provides bonded protection for clients.

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.