Vitable Compliance Library
Background Checks · Wyoming

Background Check Requirements for Home Care Workers in Wyoming

Last reviewed July 24, 2026
Conditional
Fingerprinting
CNA registry; DFS central registry
Registry checks
The short answer Wyoming has no universal home care background check statute; DOH licensure and Medicaid HCBS provider rules require criminal history screening (fingerprint-based DCI/FBI for certain certifications) and nurse aide registry checks.

What Wyoming requires

Wyoming
Licensure and Medicaid screening. Wyoming DOH licensure rules for home health agencies and Medicaid HCBS waiver provider agreements require criminal background screening of direct care staff, with fingerprint-based Wyoming DCI and FBI checks required for certain certified roles and waiver providers. Source ↗
Nurse aide registry. The Wyoming State Board of Nursing operates the CNA registry; agencies must verify active certification and absence of abuse findings before employing aides. Source ↗
Central registry. DFS maintains central registry records of substantiated abuse or neglect; Medicaid and DOH provider standards require screening against these records for caregivers of vulnerable adults and children. Source ↗
Private-pay practice. Non-medical private-pay home care is not separately licensed statewide, so FCRA-compliant vendor checks plus DCI name-based checks are the practical standard for those hires. Source ↗
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The federal baseline (applies in every state)

Federal
No universal federal mandate. There is no federal law requiring criminal background checks for private-pay home care workers; requirements are set state by state. HHS OIG found wide variation in state home health background check requirements, and Medicare Conditions of Participation for home health agencies defer to state law on screening. Source ↗
National Background Check Program (ACA Section 6201). Section 6201 of the Affordable Care Act created the CMS National Background Check Program, which awarded grants to more than 25 states to build fingerprint-based, comprehensive background check systems for direct patient access employees of long-term care providers, including home health agencies and personal care providers. Source ↗
FCRA obligations. When an agency uses a consumer reporting agency (third-party background check vendor), the federal Fair Credit Reporting Act requires a standalone written disclosure, the applicant's written authorization, and the pre-adverse action / adverse action notice process (copy of the report and Summary of Rights) before rejecting a candidate based on the report. Source ↗
OIG exclusion list (LEIE). Home care providers that bill Medicare or Medicaid must not employ or contract with individuals excluded from federal health care programs. HHS OIG maintains the List of Excluded Individuals/Entities (LEIE); CMS and state Medicaid agencies expect screening at hire and monthly thereafter, and payments tied to excluded persons are subject to recovery and civil monetary penalties. Source ↗
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