Report of the National Background Check Program (NBCP) Long-Term Care
(LTC) Criminal Convictions Work Group
The National Background Check Program Purpose: To provide grants to States to implement background checks on prospective direct
patient access employees in the LTC field.
• Role of The Office of Inspector General (OIG): Tasked by statute with evaluating the NBCP and has recommended that the Centers
for Medicare & Medicaid Services (CMS) develop standards in defining direct patient access and identifying convictions that
disqualify an individual from nursing facility employment.
• NBCP LTC Criminal Convictions Work Group: Made up of grantee State Agency representatives and other interested state officials
and has prepared options in response.
• Request of Stakeholders: To review the Work Group’s options and provide CMS comments.