Personnel Qualifications, License Verification and Exclusion Screening
Sets the qualifications each discipline must meet under 42 CFR §418.114 and District licensure law, how the Agency verifies licenses and credentials before work starts and keeps them current, how it screens every person against federal exclusion lists, and what happens when a credential lapses.
About this policy
- Policy number
- DC-HSP-HR-02
- Version
- 1.0
- Main rule
- 42 CFR §418.114
- Library
- Washington, DC hospice · 60 policies
- Category
- Human resources
- Sections
- 16
In short
- You must hold a valid license or certification for your job before your first visit.
- We verify licenses directly with DC Health and keep them current.
- Tell the Administrator at once if your license expires, is restricted or is under investigation.
- With a lapsed license you may not see patients until it is restored and verified.
- We check everyone against federal exclusion lists before hire and every month.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.114)
- 5. Qualifications by Discipline
- 6. Verification Before Work Starts
- 7. Keeping Qualifications Current
- 8. Exclusion Screening
- 9. Lapsed, Restricted or Unverified Credentials
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- Show me how you verified this nurse’s District license before her first visit.
- What qualifications does your social worker have? If you are enrolled in DC Medicaid, is that person an LICSW?
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