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Ill. Admin. Code tit. 77, § 270.2250 - Health Care Worker Background Check (implementing the Health Care Worker Background Check Act, 225 ILCS 46)

IllinoisregulationIllinois Department of Public Health (IDPH)

What this rule requires your agency to do

  • 1The agency/provider must not knowingly hire any individual in a position with duties involving direct care if that person has been convicted of committing or attempting to commit one or more of the enumerated disqualifying offenses, unless a waiver is granted. (77 Ill. Adm. Code 270.2250; 225 ILCS 46/25)(77 Ill. Adm. Code 270.2250; 225 ILCS 46/25)
  • 2The agency/provider may conditionally employ an applicant to provide direct care for up to three months pending the results of the UCIA criminal history record check. (77 Ill. Adm. Code 270.2250)(77 Ill. Adm. Code 270.2250)
  • 3The agency/provider must, upon making a conditional offer of employment, inquire of the Nurse Aide/Health Care Worker Registry as to the status of the applicant's UCIA criminal history record check. (77 Ill. Adm. Code 270.2250; 225 ILCS 46/33(g))(Ill. Admin. Code tit. 77, § 270.2250 - Health Care Worker Background Check (implementing the Health Care Worker Background Check Act, 225 ILCS 46))
  • 4The agency/provider must not employ a direct care worker who has a finding by the Department of abuse, neglect, or misappropriation of property noted on the Health Care Worker Registry. (225 ILCS 46/25(c))(Ill. Admin. Code tit. 77, § 270.2250 - Health Care Worker Background Check (implementing the Health Care Worker Background Check Act, 225 ILCS 46))
  • 5The agency/provider must transmit all necessary information and fees to the Illinois State Police within 10 working days after receipt of the applicant's authorization for a fingerprint-based criminal history records check. (77 Ill. Adm. Code 270.2250; 225 ILCS 46/33(b))(Ill. Admin. Code tit. 77, § 270.2250 - Health Care Worker Background Check (implementing the Health Care Worker Background Check Act, 225 ILCS 46))

Applies to: Home care / home services agencies and other health care employers hiring direct care workers, nurse aides, and personal care assistants

Under Illinois' Health Care Worker Background Check Act (225 ILCS 46) and its implementing rule (77 Ill. Adm. Code 270.2250), health care employers — including home health and home services agencies employing direct care workers and personal care assistants — must run fingerprint-based UCIA criminal history checks through the Illinois State Police, verify status via the Health Care Worker/Nurse Aide Registry, and may not hire applicants with disqualifying convictions absent a waiver.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.