Compliance
Caregiver Background Check Requirements: A Guide for Agencies
Most states require a criminal check before client contact, many fingerprint-based through the FBI. Five states' rules, FCRA steps, exclusion lists and rechecks.
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Yes. Oregon requires a criminal background check before a caregiver works with clients. The agency must run a criminal records check and make a fitness determination before an employee, volunteer, or owner has client contact, and repeat it every 3 years. Agencies serving Medicaid (ODHS) clients must use the ODHS Background Check Unit under OAR 407-007; fingerprints for a national check are at the agency's option.
| Check required | Yes |
|---|---|
| Fingerprint-based | No |
| Registries named | Nationwide sex offender registry; HHS OIG List of Excluded Individuals and Entities (LEIE) |
| Rule | OAR 333-536-0093; OAR 407-007 |
The 12 initial hours are a 4-hour orientation plus 8 hours of training, and only 2 of the 8 hours are due before work starts. Caregivers with a current Oregon health care license or certificate may be exempt from caregiver training. Fingerprinting is optional for the agency.
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.
Compliance
Most states require a criminal check before client contact, many fingerprint-based through the FBI. Five states' rules, FCRA steps, exclusion lists and rechecks.
Recruiting
A seven-day caregiver hiring process: same-day reply, 24-hour phone screen, interview by day 3, conditional offer, background check and I-9 on time, shadow shift by day 7.
Recruiting
Three stages: paperwork, screening and training before the first shift, a supported first shift, and check-ins through day 90. Federal deadlines included.
Compliance
Track every caregiver credential with an expiry date, alert at 60 and 30 days, and block assignments when something lapses. Surveyors check the visit date.
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