NDAC 75-02-05-11
Fingerprint-based criminal background checks
Cite as N.D. Admin. Code ยง 75-02-05-11
1.
The department shall provide fingerprint-based criminal background checks screenings for
enrolled or newly enrolling providers and indirect owners with five percent or more ownership
in a high-risk provider, unless that provider and indirect owners has had a successful
fingerprint-based background check completed within five years of the enrollment or
revalidation date by centers for Medicare and Medicaid or another state Medicaid agency. The
department requires a provider, or any person with a five percent or more direct or indirect
ownership interest in the provider, to submit a set of fingerprints, within thirty days upon
request from centers for Medicare and Medicaid or the medical services division. The provider
and owners are required to cover the cost associated with obtaining the fingerprint-based
criminal background check. That includes the cost of obtaining the fingerprints and the cost of
processing the background investigation. The department will inform high-risk providers of the
form and manner for providing fingerprint-based criminal background check information.
2.
The department shall evaluate criminal history against the reasons for revocation found in
42 C.F.R. 424.535(a)(3) and based on offenses described in North Dakota Century Code
chapter 12.1-16, homicide; 12.1-17, assaults - threats - coercion - harassment; 12.1-18,
kidnapping; 12.1-27.2, sexual performances by children; or 12.1-41, Uniform Act on
Prevention of and Remedies for Human Trafficking; in North Dakota Century Code section
12.1-20-03, gross sexual imposition; 12.1-20-03.1, continuous sexual abuse of a child;
12.1-20-04, sexual imposition; 12.1-20-05, corruption or solicitation of minors; 12.1-20-06,
sexual abuse of wards; 12.1-20-06.1, sexual exploitation by therapist; 12.1-20-07, sexual
assault; 12.1-22-01, robbery; 12.1-22-02, burglary, if a class B felony under subdivision b of
subsection 2 of that section; 12.1-29-01, promoting prostitution; 12.1-29-02, facilitating
prostitution; 12.1-31-05, child procurement; 12.1-31-07, endangering a vulnerable adult;
12.1-31-07.1, exploitation of a vulnerable adult; subsection 1 of section 26.1-02.1-02.1 of
North Dakota Century Code, fraudulent insurance acts; or an offense under the laws of
another jurisdiction which requires proof of substantially similar elements as required for
conviction under any of the enumerated North Dakota statutes.
3.
The results of the fingerprint-based criminal background checks is confidential and may be
reviewed by the medical services division only to determine if the provider or their owners are
fit to participate in Medicaid or children's health insurance program. Results from the
fingerprint-based criminal background checks must be reviewed by the medical services
division to determine if the provider is allowed enrollment or continued enrollment. A provider,
or any person with five percent or greater direct or indirect ownership interest in the provider,
who is required by the medical services division or centers for Medicare and Medicaid
services to submit a set of fingerprints and fails to do so may have its application denied or
enrollment terminated.