Quick answer
For each person it employs to provide services in clients’ homes, including homemaker and companion workers, an Indiana personal services agency must apply for a national or expanded criminal history check within 3 business days after they start, and may not keep them providing services in clients’ homes for more than 21 calendar days without the result, unless the State Police, the FBI or the check company caused the delay (IC 16-27-2-4; -5(c)).
Since July 1, 2025 the list of convictions that bar a worker is longer than the one in IDOH’s 2022 letter. It covers a sex crime under IC 35-42-4, exploitation of an endangered adult, failure to report battery, neglect or exploitation of an endangered adult, murder and voluntary manslaughter with no time limit; theft, conversion or receiving stolen property, identity deception and fraud (felonies within 10 years, misdemeanors within 5); crimes of violence within 10 years; and felony battery and felony drug offenses within 5 years. A nurse aide registry finding of abuse, neglect, mistreatment or misappropriation also bars them. Separately, IDOH asks for a current lifetime report, dated within 3 months, on the manager, alternate managers, owners and officers, with the license application.
CareRulebook
Background checks written for your agency
CareRulebook’s Indiana manual includes Policy 2.4, criminal history checks for owners, managers and workers. It quotes IC 16-27-2 as it reads today, sets out the 3-day and 21-day steps with your choice of national or expanded checks, says who pays, and gives you a log with one table for workers and one for owners, officers and managers.
- 18 policies, 80 requirements mapped
- The current offense list, not IDOH’s 2022 letter
- Editable Word and PDF, delivered instantly
Preview your manual$199CareRulebook founding price for the first 50 Indiana agencies, then $249. Not an IDOH fee.
Frequently asked questions
What background check does an Indiana personal services agency need for caregivers?+
A national criminal history background check or an expanded criminal history check for each person it employs to provide services in clients’ homes. A national check is the Indiana State Police’s determination after an FBI fingerprint search. An expanded check is either a consumer reporting agency search covering every element of IC 20-26-2-1.5, or an FBI fingerprint check plus a sex offender registry check. You apply within 3 business days after the worker starts in clients’ homes.
Can a new caregiver start before the background check comes back?+
Yes, within limits. IC 16-27-2-4 lets the agency apply for the check up to 3 business days after the worker begins providing services in a client’s home, and IC 16-27-2-5(c) stops them providing services in clients’ homes after 21 calendar days without the result, unless the State Police, the FBI or the check company caused the delay. Our suggestion: apply as soon as the worker accepts the job.
Which convictions stop someone working for an Indiana PSA?+
Under IC 16-27-2-5(a) as amended from July 1, 2025: a sex crime, exploitation of an endangered adult, failure to report battery, neglect or exploitation of an endangered adult, murder or voluntary manslaughter (no time limit); theft, conversion or receiving stolen property, identity deception or fraud (felony within 10 years, misdemeanor within 5, before the employment application date); a crime of violence within 10 years; and felony battery or a felony drug offense within the previous 5 years. A nurse aide registry finding of abuse, neglect, mistreatment or misappropriation also bars the person.
Is IDOH’s criminal history letter up to date?+
No. IDOH’s letter, last updated in August 2022 and still linked from its program page, lists the offenses from before July 1, 2025: rape, criminal deviate conduct, exploitation of an endangered adult, failure to report, and theft. Use the statute as it reads now.
Do owners and managers need a background check in Indiana?+
The statute bars a person with a listed conviction from operating a PSA. IDOH’s application form asks for a current lifetime expanded or lifetime national criminal history report, dated within the past three months, for the manager, alternate managers, officers and owners, and a current check for everyone else its ownership section lists. IDOH also asks for reports with a change of ownership, when owners, officers or managers change, and with a renewal if staffing has changed.
Who pays for caregiver background checks in Indiana?+
The agency is responsible for the fees, but IC 16-27-2-6 lets it require applicants to pay them when they apply, or to reimburse the agency. The statute does not set an amount. CareRulebook’s manual asks you which of the three you choose and writes it into the policy; the agency paying is the default.
Do Indiana PSAs have to re-check caregivers every year?+
We found no re-check duty in IC 16-27-2 or IC 16-27-4. The statute’s duties are to apply within 3 business days of a worker starting, and not to keep them on home visits past 21 days without the result. Separately, since July 1, 2025 an agency that knows of an employee’s conviction indicating unfitness must report it to the state nurse aide registry or the appropriate licensing authority.
Get Indiana rule-change alerts
The criminal history rules changed in 2025 and 2026. Leave your email and we will tell you when an Indiana change affects your hiring checks or your policies.
No spam. Only emails about Indiana home care rule changes. How we use your email.
Sources
- IC 16-27-4, Licensure of Personal Services Agencies (Indiana Code 2026 edition) · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- IC 16-27-2, Criminal History of Home Health Care Operators and Workers (Indiana Code 2026 edition, as amended by P.L.171-2025 and P.L.85-2026) · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- IC 16-27-2 as printed in the Indiana Code 2024 edition (before P.L.171-2025) · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- House Enrolled Act 1457 (2025), P.L.171-2025 · Indiana General Assembly (iga.in.gov) · retrieved October 2, 2026
- House Enrolled Act 1258 (2026), P.L.85-2026 · Indiana General Assembly (iga.in.gov) · retrieved October 2, 2026
- IC 35-31.5-2-79, "Crime of violence" (as amended by P.L.85-2026) · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- IC 20-26-2-1.5, "Expanded criminal history check" · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- IC 10-13-3-12 and IC 10-13-3-39, national criminal history background checks · Indiana General Assembly (Indiana Code, iga.in.gov) · retrieved October 2, 2026
- Personal Care Services Agency (PSA) Licensing Program (page last updated September 1, 2026) · Indiana Department of Health · retrieved October 2, 2026
- Personal Service Agency License Requirements, policy IDOH-HCBC/PSA-1 (effective March 26, 2024) · Indiana Department of Health, Division of Home and Community Based Care · retrieved October 2, 2026
- Application for License to Operate a Personal Services Agency, State Form 53391 (R4 / 9-18) · Indiana Department of Health · retrieved October 2, 2026
- Renewal Application for License to Operate a Personal Services Agency, State Form 53591 (R3 / 9-18) · Indiana Department of Health · retrieved October 2, 2026
- Initial Application for License to Operate a Personal Services Agency: instruction letter (last updated August 2022) · Indiana Department of Health · retrieved October 2, 2026
- Criminal History Checks: State Statutes IC 16-27-2 and IC 20-26-2-1.5 (letter to PSA applicants, last updated August 2022) · Indiana Department of Health · retrieved October 2, 2026