Why OIG Did This Review. Background checks for employees of long-term-care facilities are an important safety measure that can help protect some of the facilities’ most vulnerable populations. More than 13 million beneficiaries are served by long-term-care facilities each year, including the elderly, individuals in hospice care, and individuals with intellectual disabilities. The National Background Check Program (Program), enacted by legislation in 2010, assists States and territories (States) in developing and improving systems to conduct Federal and State background checks. Included in this legislation is a mandate that the Office of Inspector General (OIG) produce an evaluation of the Program within 180 days of Program completion. This report - the fifth in a series to supplement the mandated evaluation - reviews the last two States that are participating in the Program. The interim review allows CMS to assist the States in fully implementing Program requirements during participation. In future work, we will assess the Program overall. How OIG Did This Review. We reviewed grant monitoring documents and financial reports to determine the extent to which Idaho and Mississippi are working towards meeting Program requirements. Specifically, we evaluated the States’ ability to obtain legislative authority and to coordinate between State-level agencies. Additionally, we evaluated States’ monitoring documents.
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