1. March 28, 2019

2. Welcome Welcome Forum Website: http://www.ahfsa.org/NBCP
Forum
Please for assistance from other states, updates, or topic suggestions for our webinars or next conference

3. AHFSA Conference update
New Forum organization
Forum Chair: Taylor Haddock
Conference planning: Melanie Madore
Quarterly Forum article for the NBCP bulletin: Meghan Shears
Webinar Program development: Brenda Dreher and Jane Lengel
Web site content management: Pat Trella
NNAR Coordination: James Joslin
MedFile Access Development: Jane Lengel, Meghan Shears, and Ernie Baumann

4. Next Up:
2019 Conference Topics
Melanie Madore

5. 2019 Conference Topics Potential Session Topics
Potential Presenters/Facilitators (“Volunteers”)
New NBCP States
FBI – Vision, Future, Services for New States
Compact Council/FBI – Audit Committee Requirements/Findings
Denise Matthews, Georgia
Federal Rap Back Implementation
National Nurse Aide Registry Update
James Joslin, Oklahoma
Demo of states’ background screening systems
Jane Lengel, Ohio (tentative)
NBCP and Survey Staff – how they work together
Leticia Metherell, RN, CPM, Nevada
Waiver Processes – disqualifiers, time limits, tiering, etc.
K. Adam Krajniak, Jr., Michigan
Working w/elected officials and engaging stakeholders
Stephen J. Gobbo, Esq., Michigan (tentative)
Media relations – positive and negative experiences and advice
Round Table Q & A
CNA
Alem Ghebrezghi, MS-HCA, District of Columbia
Stephen J. Gobb, Esq., Michigan (tentative)
Administration on Children & Families – Child Care Screening update, tie-in with NBCP
Planning Session for 2020 Conference
NBCF leadership, all participants
Using the NBCP for Ohio’s Medical Marijuana Program

6. 2019 Conference Planning Sessions
Vendor Table
Forum Outreach
Presentation to general audience members

7. NBCP CMS & Technical Assistance Contract Updates
Next Up:
NBCP CMS & Technical Assistance Contract Updates
CaraLee Starnes

8. CMS Updates
Draft: OIG Interim Report: Assessment Of State Programs Concluded Between 2013 And 2016
Final draft expected to be released in May 2019
Includes status of State programs at time of graduation:
Alaska
Connecticut
Delaware
District of Columbia
Florida
Illinois
Maryland
Missouri
New Mexico
Rhode Island

9. CNA NBCP Technical Assistance Updates
Quarterly Reports Due April 30!
Graduated States – please continue to submit data- the OIG will use all data submitted in interim and final evaluations of your programs.
Quarterly Bulletin
Send us your program highlights, milestones and innovative ideas for inclusion
Send your highlights by tomorrow, 3/29/19 to
MEDFile project
Further automates the LEIE search by using the SSN
Available to all NBCP States
Interested? Contact CaraLee:

10. CNA NBCP Technical Assistance Updates
Continuing Direct TA Support of ID, KS, MS, OH, PR and WI as requested.
OH graduates 4/21/2019
OR graduates 7/29/2019

11. National Background Check Program Implementation in 29 States 3/31/19
Milestones:
Since our last webinar, KY, ME, NC, NV, UT, and WVA have graduated from the NBCP program.
There are now 19 graduated States with 7 active grantee States remaining in the NBCP.
On behalf of CMS, we are asking graduating States to consider voluntary submission of the quarterly reports to CNA after your grant period ends.
An important component of the National Background Check Program (NBCP) is data which allows CMS to evaluate the efficiency, effectiveness, and economic impact of the NBCP.
All States in the program have dedicated an enormous amount of time and resources to develop their background check programs and to submit data through the quarterly reports over the past six years.
Having continued access to that data, especially as your programs mature and show more results, is critical for telling the story of all your hard work. In fact, the HHS OIG has confirmed that they will be using voluntarily submitted data submitted by graduated State in any related interim and final evaluations of the NBCP.
For States that voluntarily submit, you will receive:
a quarterly data analysis from CNA’s quarterly Cross-State Comparison Report that includes Data tables showing the status of State program data files (for all States) and program outcomes across States.
an analysis of your State’s own data (in the form of the program outcome tables) for State’s whose data is not included in the comparison tables.
States in Planning & Development: KS, MD*, PR
States in Pilot Phase: HI*
State Live w/Implementation of Registries and Rap Back: OH (not integrated)
State Live w/Integration of Criminal History: MS, WI (name-based)
States Live w/Implementation of Registries and Integration of Criminal History Record Information (CHRI): CT*, DC*, GA*, ID, IL*, MO* (name-based), NC*, OR
States Live w/Implementation of Registries, Integration of CHRI and Statewide Rap Back: AK*, CA*, DE*, FL*, KY* (voluntary), ME* (name-based), MI*, MN*,NM*, NV*, OK*, RI*, UT*, WV*
*= State Graduated from NBCP Bold= NBCP Nurse Aide Registry State

12. Next Up:
NNAR Update
Allison Wallace

13. CNA NBCP Technical Assistance Updates
NBCP NAR
States live with NNAR:
Alabama (AL), Colorado (CO), District of Columbia (DC), Florida (FL), Georgia (GA), Louisiana (LA), Maine (ME), New Mexico (NM), Nevada (NV), North Dakota (ND), Ohio (OH), Oregon (OR), Utah (UT), West Virginia (WV).
Continued follow up with States that have developed NNAR interfaces but have not yet implemented
California (CA), Minnesota (MN), and Oklahoma (OK)
Ongoing efforts
Connecticut (CT), Hawaii (HI), Kansas (KS), and Puerto Rico (PR)

14. NBCP Nurse Aide Registry as of 3/31/19OR NV AZ ID UT MT WY NM CO NE SD ND OK KS MN IA MO AR IL TN KY IN AL OH GA WV SC PA VA CA WA TX LA WI MS MI FL NC NY ME VT NH MA RI NJ CT DE MD DC
Puerto Rico HI
*OK and OR are implemented; other NNAR States can receive data from these States, but OK and OR are not yet calling the NNAR.
KS- starting work on development
AK- Beth will ask if they are still interested.
Publically available data States: Potentially 5 States (LA, WA, CO, ME, VT) AK
States Participating in the NBCP NAR (12): AL, CO, DC, FL, GA, LA, ME, ND, NM, NV, OH, OR, UT, WV
States in Development and/or Awaiting Implementation (5): CA, CO, MN, ND, OK
States Planned for Development This Year (4): CT, HI, KS, PR

15. NBCP Nurse Aide Registry – Impact
State
Match Count February 2019
Call Count February 2019
Match Count* Total 8/4/17-2/28/19
Call Count **Total 8/4/17-2/28/19 DC 25
1,563
175
29,102
FL***
407
30,240
39,733
591,476 GA 8
561 51
6,536 NM
117
9,099
802
173,562 NV 76
4,060
477
49,063 OH 70
4,778
498
75,064 UT 42
4,041
467
80,627 WV
102
10,437
925
152,850
TOTALS
847
64,779
43,128
1,158,280
*The match count is the number of times that the NNAR returned a match. The match count includes both in-State NARs as well as all other participating NBCP NAR State match results. In the future, enhanced reporting functionality will include the ability to record where the matches came from (in-State or out- of-State).
**The call count is the number of times during the listed period that a State called out to the NNAR.
***FL changed its matching algorithm March 1, Match data prior to March 1, 2018 is not comparable.

16. CNA NBCP Technical Assistance Updates
NNAR Activities
Continue platform expansion
Planned presentation to CMS
Survey data
Market research
Proof of concept web portal
Planned presentations at upcoming professional conferences
HCBS

17. Federal Rap Back Implementation
Next Up:
Federal Rap Back Implementation
Angela Anderson and Carmen Richins, UT DOH

18. DIRECT ACCESS CLEARANCE SYSTEM
Federal Rap Back
DIRECT ACCESS CLEARANCE SYSTEM
Federal Rap Back

19. Background Checks Before DACS
Rules in place for conducting background checks
Conducting background checks on health facility employees since 1997
Robust appeals process
Support at many levels in the State
Legislative
Public Safety
Provider community

20. Development of DACS Development of DACS
National Background Check Grant awarded in 2011
Legislation changed May 8, 2012
Passed house and senate with 100% approval
Worked with public safety
Initially developed DACS to handle both State and Federal Rap back

21. Partnership with Public Safety
Partnership with Public Safety (BCI) from inception
BCI implemented Federal Rap back via the Western Identification Network in 2015.
BCI changed their statute ( ) to allow agencies who had authority to conduct FBI background checks the ability to add Federal Rap back

22. Federal Rap back Implemented
DACS Federal Rap back Implemented
Bureau of Emergency Medical Services
November 25, 2015
Health Facilities
July 5, 2018

23. Federal Rap Back cont…. Background check Eligible
Notification of rap back event
BCI sends notification to DACS
Staff look at offenses to determine if event is disqualifying
True – Not Eligible or Eligible no longer valid
Notification sent to provider via DACS
Notification sent to individual via certified letter
May choose to appeal
False – Eligibility remains

24. Questions?

25. Thank you!
Next Meeting: May 30, 2019