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State Requirements for Background Checks on Home Health Workers

In response to a congressional request, the Office of lnspector General initiated two related evaluations regarding home health agencies 'HHAs' employment of individuals with criminal convictions.

This memorandum report presents the results of the first evaluation, conducted to

  1. Identify State background-check requirements for HHAs.
  2. Identify the types of criminal convictions that, under State law or regulation, disqualify individuals for HHA employment. 

The second evaluation, entitled Home Health Agencies Employment of Individuals With Criminal Convictions, will 

  1. Determine the extent to which HHAs employed individuals with criminal convictions as of January 1, 2014, and identify criminal convictions of selected employees that potentially disqualify them for HHA employment, and (
  2. Identify the procedures that HHAs use to perform background checks on prospective and/or current employees.


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