Best Background Check Providers for Home Care Agencies
Carezano TeamMarch 31, 2026
Why Background Checks Matter in Home Care
Your caregivers enter clients' homes unsupervised. Families trust you to send safe, qualified people. Background checks are not optional — most states require them, and your clients expect them.
What to Screen For
- Criminal history — county, state, and federal searches
- Sex offender registry — national check
- OIG exclusion list — required for Medicaid providers
- Abuse registries — state-specific adult/child abuse databases
- Driving record — if caregivers transport clients
- Drug screening — varies by state and payer requirements
- Professional license verification — CNA, HHA certifications
Top Providers
For High-Volume Agencies **ClearStar** and **Checkr** offer API integrations that plug directly into your scheduling or HR software. Results come back fast and the per-check costs drop with volume.
For New/Small Agencies **GoodHire** offers a simple web interface with no minimum volumes. Pay per check, easy to understand reports, and FCRA compliance built in.
For Medicaid Agencies Make sure your provider includes OIG and SAM exclusion list screening. Many states also require fingerprint-based checks through a specific state vendor.
Costs
Expect $25-$75 per comprehensive background check depending on the scope. County criminal searches are cheapest ($10-$15). Federal and multi-state checks add cost. Drug tests are typically $25-$50 additional.