Criminal History Record and Background Check Information
Effective January 2013

Below are links to information on the Med-QUEST Division (MQD) criminal history record and background check program for home and community based services (HCBS) providers for QUEST Integration (QI) and the Developmental Disabilities and Intellectual Disabilities (DD/ID) 1915 (c) waiver.

Criminal History Record and Background Check Information

General Information

The Med-QUEST Division (MQD) is revising its process to conduct criminal history record checks as well as Adult Protective Services (APS) and Child Abuse and Neglect (CAN) registry checks. These revised processes are for Home and Community Based Service (HCBS) providers for the QUEST Integration (QI) program and Developmental Disabilities and Intellectual Disabilities (DD/ID) 1915(c) Waiver providers.

All providers must assure that their employees are reputable and of a responsible character so that the health, welfare, and safety of Medicaid beneficiaries will not be at risk. The providers subject to this requirement include both those providing services through the QUEST Integration (QI) program and the DD/ID 1915(c) waiver.

Both criminal history record checks and Adult Protective Services (APS) and Child Abuse and Neglect (CAN) registry checks are utilized by the MQD to assure that providers meet the requirements established in �346-97, Hawaii Revised Statutes (HRS), Criminal history record checks and TITLE VI--TRANSPARENCY AND PROGRAM INTEGRITY, PART III--Improving Staff Training, Section 6201 of the Affordable Care Act (ACA) of 2010.

Criminal history record checks are an authorized noncriminal justice fingerprint-based search of the state criminal history record repository and the FBI system. A combination of criminal history record, APS and CAN Protective Services Central Registry checks are used to determine employment suitability as defined in �346-97, HRS. A copy of the criteria that DHS or its designee uses to determine employment suitability is found below.

Criminal History Record Check Standards

Frequency of Criminal History Record Checks and Registry Screens

Providers shall assure that all of their employees have a criminal history record check processed according to the frequencies listed below.

Agency/Service	FBI and State Fingerprint Check (AFIS)	State Name Check (eCrim)	APS Screen	CAN Screen
Providers	Upon hire     One year from date of hire	Once every two years thereafter	Upon hire One year from date of hire Once every two years thereafter	Upon hire One year from date of hire Once every two years thereafter

Process for Obtaining Criminal History Record Checks and Registry Screens

Providers can set-up an account with the current DHS designee for these services at www.fieldprinthawaii.com.

Applicants may register for fingerprint collection at www.fieldprinthawaii.com.

Fees

The following is a summary of the fees that will be charged for the criminal history record and registry check processes effective October 1, 2016:

Service	Fees
Criminal history record and registry check (includes fingerprinting, screen of Hawaii and Federal AFIS, APS and CAN screens)- fees for this service are described below	$68.00
Federal Bureau of Investigation and Hawaii Criminal Justice Data Center	$44.75
Administrative Fee	$26.00
APS/CAN screens (fingerprint collection not included)	$11.00
Appeals processing fee	$25.00

Fees may be paid by either the provider or the applicant. The provider may pay for their applicants through one of two methods: through a company credit card or through invoice. Providers shall communicate their preferred method while registering with Fieldprint.

Providers are not required to pay fees for their employees. If the provider is not paying the fees, then the applicant will need to pay them when registering for fingerprint collection with a credit card.

Applicants need to show up for their scheduled appointment. Failure for an applicant to show up for their appointment will result in loss of fees paid for the criminal history record check. Applicants can reschedule their appointment (without loss of fees) at least twenty-four hours prior to the appointment time.

Appeals Process

Below are documents to use in the appeals process, to request an exemption from the red light determination of the criminal history record or registry checks:

DHS 1200 � Request for Exemption form
DHS 1200A � Request for Exemption form Instructions
Exemption Procedures
Exemption Checklist
Statement of Authenticity � use when requesting an exemption for eCrim results