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Caregiver background check rules in Ohio

Last verified October 17, 2026 · All Ohio resources

Yes. Ohio requires a criminal background check before a caregiver works with clients, using fingerprints. Before hiring anyone for a direct care position, a home health agency must run a database review and then a fingerprint-based criminal records check. It may not employ a person found in the listed databases or convicted of a disqualifying offense under ORC 109.572, subject to exclusionary periods in OAC 3701-60-09.

What does the check include?

Check requiredYes
Fingerprint-basedYes
Registries namedSystem for Award Management excluded parties list; HHS OIG List of Excluded Individuals and Entities; Ohio registry of developmental disabilities employees; Ohio sex offender and child-victim offender database; Ohio state nurse aide registry (abuse, neglect, or misappropriation findings)
RuleOhio Rev. Code 3740.11; Ohio Admin. Code 3701-60-05 to 3701-60-09

What should you confirm with the state?

Companion-only services aren't named in the state's definition of nonmedical home health services; confirm with the Ohio Department of Health whether a companion-only agency needs a license. Agencies certified by the Ohio Department of Aging for Medicaid have separate training rules.

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.

Sources

More for Ohio

Background checks by state: other states

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