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Protecting Vulnerable Populations Through Background Checks

Welcome to the National Background Check Program (NBCP) Technical Assistance website, sponsored by the Centers for Medicare & Medicaid Services (CMS). This website is designed to assist U.S. States and Territories in establishing State programs for the purpose of conducting background checks on all prospective employees for direct-access positions with long-term care facilities and providers. This site is also available to the public for the purpose of providing information and education about the NBCP and grantee-State programs.


National Background Check Program for Long Term Care Providers:
Assessment of State Programs Concluded in 2017 and 2018

The HHS Office of the Inspector General (OIG) has published the latest in a series of reports designed to assist CMS and States continuing in the NBCP, to promote program improvements, and increase protections for vulnerable populations. This report provides an assessment of 11 of the 12 States that concluded Program participation in 2017 and 2018. (The 12th State did not submit closeout documents in time to be included in this study).

The NBCP, enacted by legislation in 2010, provides grants to States to develop systems to conduct Federal and State background checks. Congress mandated the HHS to produce an evaluation of the Program within 180 days of Program completion, which could occur as late as 2024. Grant beginning and end dates stagger, with seven States continuing participation past 2018.


Registered users from grantee States can access resources related to conducting background checks on direct-access employees and submit requests for technical assistance in the development of their own State-level programs. CNA maintains the list of approved users for this website and is contracted by CMS to provide technical assistance to grantee States. If you are a grantee-State registered user, please login above.

The ninth and final grant solicitation closed on December 15, 2017.