US · guidance
CMS Pub. 100-11, ch. 2, § 50.1
Persons with Criminal Convictions
A PACE organization must not employ individuals or contract with organizations or
individuals:
• Who have been excluded from participation in the Medicare or Medicaid
programs;
• Who have been convicted of criminal offenses related to their involvement in
Medicaid, Medicare, other health insurance or health care programs, or social
service programs under Title XX of the Act, or
• In any capacity where an individual’s contact with participants would pose a
potential risk because the individual has been convicted of physical, sexual,
drug, or alcohol abuse.
Verification of criminal background check may be done through a database check such as
Department of Justice or State criminal background databases. The PACE organization
will maintain a copy of this verification in the employee’s personnel record, and this
verification needs to be done upon hire or at some other duration established by CMS or
in accordance with state requirements, whichever is most stringent.
[42 CFR § 460.68]
History
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
25000972436be4fd8f65081dad3d2c3bc9f0f2f0b8196210f8186030fc3c6141
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