HHS Office of the Inspector General Reports and Advisories
The Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG) has released several reports and a special advisory bulletin that are relevant to the Center for Medicare & Medicaid Services’ (CMS) National Background Check Program. Links to each document and a brief description are available on this page.
- National Background Check Program for Long Term Care Providers: An Interim Assessment HHS OIG Report (OEI 07-20-00181), May 9, 2022
This report provides an interim assessment of Idaho and Mississippi, the last two States that are participating in the program.
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2019 HHS OIG Report (OEI 07-20-00180), September 4, 2020
This OIG report provides an assessment of the 4 States that concluded Program participation in 2019.
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2017 and 2018 HHS OIG Report (OEI 07-18-00290), August 21, 2019
This OIG 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.)
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded Between 2013 and 2016 HHS OIG Report (OEI 07-16-00160), April 22,2019
This OIG report provides an assessment of States that concluded NBCP participation prior to 2017, and it also provides information for CMS to assist States that continue to participate in the Program.
- National Background Check Program for Long Term Care Employees: Interim Report HHS OIG Report (OEI 07-10-00420), January 19, 2016
This OIG report is an interim assessment of the overall implementation status and State's results from the first 4 years of the National Background Check Porgram. The OIG reviewed reports on implementation milestones, expenditures, and (where available) data on number of background checks completed.
- Home Health Agencies Conducted Background Checks of Varying Types HHS OIG Report (OEI-07-14-00130), May 2015
This OIG report is in response to a congressional report for OIG to analyze the extent to which home health agencies (HHAs) employed individuals with criminal convictions and to explore whether these convictions should have – according to State requirements – disqualified them from HHA employment. It recommends that CMS promote minimum standards in background check procedures and suggests that CMS could promote minimum standards for HHA employee background checks by encouraging more States to participate in the National Background Check Program.
- Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs HHS OIG Special Advisory Bulletin, May 9, 2013
This OIG special advisory bulletin is an updated HHS OIG Special Advisory Bulletin that provides guidance to the health care industry on the scope and frequency recommended for screening employees and contractors where such payment is made through Federally funded health care programs. It describes the penalties that may be incurred if an excluded individual is employed by a provider.
- Criminal Convictions for Nurse Aides With Substantiated Findings of Abuse, Neglect, and Misappropriation HHS OIG Report (OEI-07-10-00422), October 5, 2012
This OIG report examines the issue of nurse aides with substantiated findings of abuse, neglect, and/or misappropriation of property. It compared data from each State’s nurse aide registry with criminal conviction data from the Federal Bureau of Investigation.
- Nationwide Program for National and State Background Checks for Long-Term-Care Employees – Results of Long-Term-Care Provider Administrator Survey HHS OIG Report (OEI-07-10-00421), January 19, 2012
This OIG report is a baseline assessment of long-term care facilities’ use of background checks. The OIG surveyed long-term care provider administrators on existing procedures for conducting background checks on prospective employees, and their opinions on whether the use of background checks affected the availability and quality of long-term care employment applicants.
- Nursing Facilities' Employment of Individuals with Criminal Convictions HHS OIG Report (OEI-07-09-00110), March 1, 2011
This OIG report is a study of the extent to which nursing facilities employed individuals with criminal convictions. In the report, OIG recommends that CMS address this problem in part by ensuring that States conduct background checks consistently.