Washington Home Care: Embracing a Paradigm Shift in Background Checks

Posted by Joe Stefansky on January 16, 2024 in Background Screening, Washington State,

A New Era of Enhanced Safety and Accountability

Effective January 1st, 2024, Washington’s in-home care landscape will undergo a transformative shift towards enhanced safety and accountability. The implementation of stringent federal risk-based screening for all caregivers serving Medicaid clients signifies a proactive approach to safeguarding vulnerable individuals, fostering trust, and propelling the industry towards a higher standard of quality.

A Comprehensive Approach to Safeguarding Vulnerable Individuals

This new mandate, outlined in DSHS Management Bulletin H23-084, necessitates comprehensive background checks against three federal databases:

  • Office of Inspector General List of Excluded Individuals/Entities (LEIE): This database identifies individuals barred from participating in Medicare and Medicaid programs due to fraud, abuse, or neglect.
  • System for Award Management (SAM): This database lists companies and individuals deemed ineligible to receive federal contracts due to various violations.
  • Social Security Administration Death Master File (SSDMF): This database ensures deceased individuals are not employed as caregivers.

Navigating the Operational Crossroads for Home Care Agencies

For Home Care Agencies, this marks a paradigm shift in operational protocols. Engaging in meticulous database screening, establishing internal processes for information management, and navigating potential budgetary adjustments are just some of the challenges to be addressed. However, these measures pale in comparison to the immeasurable return on investment: building robust safeguards against potential risks and guaranteeing the highest level of service integrity.

A Collaborative Journey for Individual Caregivers

Individual Caregivers are integral partners in this transformative journey. Cooperating with the background check process demonstrates a commitment to ethical practice and reinforces trust with clients and employers. Proactive engagement with this vital initiative not only strengthens personal reputation but also contributes to the greater good of fostering a more secure care environment for all.

Transparency and Confidence for a Secure Future

As Consumers entrust their loved ones to in-home care providers, transparency and confidence are paramount. While temporary service disruptions may occur in the initial stages of adapting to the new regulations, the long-term benefits are undeniable. A more rigorous screening process translates to minimized risks, enhanced peace of mind, and a renewed sense of trust in the in-home care system.

Taking Action for a Stronger Future

The urgency of this initiative cannot be overstated. Home Care Agencies should:

  • Prioritize implementation planning: Develop a clear roadmap for compliance, identify vendors for database access, and allocate dedicated resources.
  • Secure access to database screenings: Establish partnerships with database providers or subscription services to ensure timely and effective background checks.
  • Allocate necessary resources: Budget for potential software upgrades, administrative personnel, and any additional costs associated with compliance.

Caregivers should:

  1. Familiarize themselves with the process: Understand the required documentation, deadlines, and procedures for cooperating with the background checks.
  2. Readily provide required documentation: Gather and submit personal information and identification documents promptly to facilitate a smooth screening process.
  3. Maintain open communication: Stay informed about updates and potential changes related to the new regulations.

Consumers should:

  1. Engage with their chosen agencies: Inquire about their compliance plans, timelines, and potential service disruptions.
  2. Offer support and understanding: Acknowledge the challenges agencies face in adapting to the new regulations and express appreciation for their commitment to safety.
  3. Remain informed: Stay updated on developments and resources related to the new background check requirements.

A Collective Commitment to a Brighter Future

Navigating this paradigm shift requires collaborative action, proactive planning, and a unwavering commitment to safety and quality. By working together, Washington’s in-home care community can emerge from this change not merely compliant, but stronger, more accountable, and better equipped to deliver the highest standards of care to our most vulnerable citizens.

Additional resources:

Let us embrace this transformative shift with optimism and purpose, knowing that our collective efforts will build a brighter future for Washington’s in-home care landscape.

About Joe Stefansky

About Joe Stefansky

Joe Stefansky has a keen sense of business opportunities in complex problems, using technology to transform difficulty into efficiency. The CEO and founder of Streamline Verify specializes in solving compliance, legal and administrative issues through intuitively designed software that reduces costs and saves time.

Related Articles

Monthly OIG Exclusion Checking: Mandatory or ...

December 28, 2014

Are monthly exclusion screening checks mandatory?  According to healthcare compliance experts, the vast majority of facilities are just not doing them... The following post on HCCAnet, the health car...

Can OIG Exclusion Wreck My Career ...

August 3, 2015

We picked this one up from allnurses.com, an open forum for nurses and nursing students. HELP! I just learned that I've been on the OIG Exclusion list since Jan 2003 following my RN license surrender ...

SAM.gov Site Users Struggle with ...

January 9, 2023

As discussed in a March 2021 Streamline Verify article, SAM.gov went through an extensive overhaul to improve functionality and accessibility. First introduced as a beta site and then revised based on...

Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

Our Culture

We build the best, so you can perform at your best.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking




Average workload reduction by implementing the Streamline Verify program



Establishments trust Streamline Verify nationwide



Serving the healthcare industry’s unique compliance needs since 2011



Setting standards with hourly synchronization to primary source data