Presentation to <Name of audience/stakeholder organization> <Date>

1. State of <State>Review and Discussion of Current and ProposedNational Background Check Program (NBCP) Implementation Presentation to <Name of audience/stakeholder organization> <Date>

2. Presenters • <Name of State program/agency 1> • <Name of presenter 1>, <title> • <Name of presenter 2>, <title> • <Name of State program/agency 2> • <Name of presenter 1>, <title> • <Name of presenter 2>, <title> • CNA, CMS technical assistance (TA) contractor for the NBCP [Optional–use if presenting with CNA] • <Name of CNA presenter 1>, <title> • <Name of CNA presenter 2>, <title>

3. Overview of NBCP, Pilot Program • Pilot Program • Administered by the Centers for Medicare & Medicaid Services (CMS) in consultation with the Department of Justice and the Federal Bureau of Investigation (FBI) • Effective from 2004-2007 • Seven States participated: • Alaska • Idaho • Illinois • Michigan • Nevada • New Mexico • Wisconsin • Focused on establishing background check programs to help identify best practices and lessons learned

4. Overview of NBCP, Current Program • Current Program • Created under Section 6201 of the Patient Protection and Affordable Care Act of 2010 • Establishes framework for standardized nationwide program for Statesto conduct background checks on all prospective direct access employees of long term care (LTC) facilities and providers • Aims to identify efficient, effective, and economical procedures for States to conduct Federal-level background checks

5. Overview of NBCP, Grant Solicitation • Grant Solicitation • First solicitation issued by CMS in June 2010 • Six States awarded in initial round of funding (September 2010) • <State> received $<amount> in <month> <year> to design a comprehensive applicant criminal background check program for LTC jobs involving direct access to residents or beneficiaries • <Number of> additional States awarded by <current month> <current year> (See http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/BackgroundCheck.html)

6. <State’s> Existing Program Key Features: • Covers <number of> types of LTC facilities/providers (e.g., <types of facilities/providers covered>) • These facilities employ <number of> direct access workers • Administered by the <name of State grantee agency> • <Requires/does not require> fingerprint-based background checks • <Does/does not> include State rap back program • <Does/does not> include all provider types covered by the NBCP

7. <State’s> Proposed Program • Key Enhancements: • <Example: Expand the scope of the current statutes to include the capture of applicant fingerprints for national checks performed through a query of the FBI’s Automated Fingerprint Identification System> • <Example: Expand the population of employers required to obtain prospective employee background checks to include hospices, LTC hospitals, personal care service providers, and institutions available for individuals with developmental disabilities>

8. <State’s> Proposed Program (cont.) • Key Enhancements (cont.): • <Example: Design and implement a State rap back system to make employers immediately aware of offenses occurring post-background check and to lessen the burden on applicants of repeat background checks> • <Example: Expand the scope of registry checks to include State-based abuse and neglect registries and databases, and the abuse and neglect registries of another State in the case where a prospective employee previously resided in that State>

9. Implementing Enhancements • Key Features: • <Example: Legislation is needed to: • Expand the background check policies to additional LTC facilities • Expand the background check policies to require fingerprinting and authorize collection of fees for background check processing> • <Example: IT work is needed to: • Streamline the collection and validation of all background check data, including fingerprints> • <Example: Outreach is needed to: • Educate and train LTC facilities and providers on the new policies and procedures>

10. <State’s>Activity Since Grant Award • <Example: Preparing enabling legislation so that the grant can be implemented> • <Example: Determining needs of the Office of Attorney General to implement the process of collecting fingerprints from applicants> • <Example: Assessing methods of and locations for the processing of fingerprints>

11. CNA Technical Assistance [Optional] • CNA developed understanding of existing program • Reviewed grant application • Created summary of existing program • Completed initial technical assistance (TA) evaluation • Established communication with <State> team • Calls with <State> stakeholders to assess and discuss areas of need and priority • Monthly grantee calls (all grantee States) • NBCP TA website: http://bgcheckinfo/ • References • Resources • News

12. Next Steps • What’s Next • Timeline for Implementation • Discussion and Questions • For additional information, contact <name of point of contact>, <State agency>, <telephone number>, <email address>