Application For A Background Check

Individuals who are subject to a background check must submit their application on the Department website. (3-28-23) 20. Mental Health Services IDAPA 16.07.33, “Adult Mental Health Services” IDAPA 16.07.37, “Children’s Mental Health Services” 21. Personal Assistance Agencies IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits” 22. Personal Care Service Providers Section 39-5604, Idaho Code IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits” 23. Residential Assisted Living Facilities IDAPA 16.03.22, “Residential Assisted Living Facilities” 24. Service Coordinators and Paraprofessional Providers IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits” 25. Skilled Nursing Facilities IDAPA 16.03.02, “Skilled Nursing Facilities” 26. Substance Use Disorders Services IDAPA 16.07.17, “Substance Use Disorders Services” 27. Support Brokers and Community Support Workers IDAPA 16.03.13, “Consumer-Directed Services” Required Classes Idaho Code and IDAPA Chapter(s) IDAHO ADMINISTRATIVE CODE IDAPA 16.05.06 Department of Health and Welfare Criminal History & Background Checks Section 125 Page 9 01. Application Form. To request a background check, the applicant must apply on the Department website and provide all the information requested in the Department-provided forms. The individual's application authorizes the Department to obtain information and release it under applicable state and federal law. (3-28-23) 02. Disclosures. The individual must disclose any conviction, pending charges or indictment for crimes, and furnish a description of the crime and the particulars on the application. The individual must also disclose any notice by a state or local agency of substantiated child or substantiated vulnerable adult abuse, neglect, exploitation, or abandonment complaint, and any other information as required. (3-28-23) 03. Failure to Disclose Information. (3-28-23) a. An applicant who falsifies or fails to disclose information on the application, may be subject to prosecution under Sections 18-3203, 18-5401, and 56-227A, Idaho Code. (3-28-23) b. An applicant required to obtain a background check under Section 126 of these rules that knowingly makes a materially false statement in connection to their background check will receive an unconditional denial as provided in Section 200 of these rules. (3-28-23) 121. -- 124. (RESERVED)