Background Check Requirements

01. Background Check Compliance. Background checks are required for specific providers under these rules. Providers who are required to have a background check and their contractors must comply with IDAPA 16.05.06. (7-1-26) 02. Variances. (7-1-26) a. The Department may allow variances to clearance requirements under certain circumstances. Applicable providers must still complete an application for a background check. (7-1-26) b. Applicants with prior convictions for disqualifying drug and alcohol-related offenses may, with prior written approval of the Department, deliver covered Medicaid Peer Support and Recovery Coaching services. (7-1-26) 03. Subsequent Convictions, Charges, or Investigations. Once clearances are received, any subsequent criminal, adult, or child protection convictions, charges, or investigations must be immediately reported by the agency to the Department once known. (7-1-26) 04. Providers Subject to Background Check Requirements. (7-1-26) a. Adult Day Health Agencies. (7-1-26) b. Behavior Consultation or Crisis Management Providers. (7-1-26) c. Chore Services Providers. (7-1-26) d. Community Support Workers. (7-1-26) e. Contracted Non-Emergency Medical Transportation (NEMT) Providers, with direct contact with participants except for Individual Contracted NEMT providers. (7-1-26) f. Independent CHIS Providers. (7-1-26) g. Non-Medical Transportation (NMT) Providers. (7-1-26) h. Personal Assistance Agencies (PAA), including PAAs Acting as Fiscal Intermediaries. (7-1-26) i. Provider types deemed by the Department to be at high risk for fraud, waste, or abuse. (7-1-26) j. Respite Care Providers. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 005 Page 15 k. Service Coordination Agencies. (7-1-26) l. Support Brokers. (7-1-26) m. Supported Employment Agencies. (7-1-26) 004. (RESERVED)