"0 He_AT@l@s%&Od`$0 / Division of Environmental Health Food Safety & Sanitation Form 18-31-APP.05 (Rev 3/05) DISTRIBUTION: WHITE -FILE YELLOW OPERATOR PINK DATA ENTRY Permit Number Establishment Type of Operation Establishment Mailing Address . 2074 0 obj <>/Filter/FlateDecode/ID[<74379DDD66C8A3439C21233CDC20059F>]/Index[2060 81]/Info 2059 0 R/Length 78/Prev 218794/Root 2061 0 R/Size 2141/Type/XRef/W[1 2 1]>>stream Civil Money Penalty (CMP) Funds Background Check Variance Civil Money Penalty (CMP) Funds General Variance (State) General Waiver (Federal) Complaint Form Facility Specific Information Ambulatory Surgical Centers Critical Access Hospitals End-Stage Renal Disease Home Health Agency Hospitals Hospice Long Term Care Questions or Comments? Contact information is available on the Division Oversight Agency Contact List. %PDF-1.5 % Purpose and applicability; exceptions (a) The purpose of 7 AAC . Anchorage, AK 99503. Civil Money Penalty (CMP) Funds 829 0 obj <>/Filter/FlateDecode/ID[<551F07B47DD81A4D8311C255BBDB0BB6>]/Index[700 212]/Info 699 0 R/Length 218/Prev 475744/Root 701 0 R/Size 912/Type/XRef/W[1 3 1]>>stream 114 0 obj <>/Filter/FlateDecode/ID[<80545C37C87EBC4FAD0FA4BC970F8602>]/Index[76 84]/Info 75 0 R/Length 150/Prev 911465/Root 77 0 R/Size 160/Type/XRef/W[1 3 1]>>stream Fingerprinters - Background - Records and Information - Alaska Department of Public Safety Statewide > Records and Information > Background > Fingerprinters Approved Fingerprinters The following is a list of persons or agencies approved to take fingerprints as part of the application process for the Alaska Concealed Handgun Permit. 1157 in possession of valid, unrestricted employment authorization %PDF-1.6 % Call the COVID-19 Vaccine Helpline at 1-907-646-3322. State Regulations Licensing Applications Background Check Variance Civil Money Penalty (CMP) Funds General Variance (State) General Waiver (Federal) Complaint Form Ambulatory Surgical Centers End-Stage Renal Disease Home Health Agency Hospitals Hospice Long Term Care Questions or Comments? Individual Applicants: This option is currently not available. By allowing the Department to obtain full background checks, Alaska will have taken every measure to provide the most secure system possible. Individual Applicants: This option is currently not available. There are currently 18 long term care facilities throughout Alaska. Q\rcrvsye>qmfy[NO=S#g:zd\_Sr|O\e ];27r%{.94k3QSnnp~p-}c%9|EuaEt,l}1$agM/?Msj amsAX Credit/debit cards are not accepted at this time. Anchorage, Alaska 99507 Phone: (907) 269-5767 State of Alaska Background Check It may take awhile for you to receive a report by mail because of the large volume of requests and the pared down staff of government facilities. . Alaska Seafood Processors Pandemic Response Relief Program Alaska Seafood Processors Pandemic Response Relief Program AlaskaJobs " 2'kauc9Id.h0Ax~ xlJE$r zLx!gq. 0 Nationwide criminal history search Regarding criminal background checks, Alaska is one of the most distinctive states in the union. 0paJ;hl(DF mS)p`Xh)%jf N@dD~sr ( *l/P9jc qIN+Dp#yY3 4$ Y =1A^#vEM8!_xp If you have any changes or additions to this list, please call (907) 269-5767 or by e-mail at dps.criminal.records@alaska.gov. Please note: If you are having difficulties with NABCS, please contact the Background Check Program at 907-334-4475 or BCUnit@alaska.gov. 76 0 obj <> endobj The current background check regulations, including but not limited to identification of barrier crimes and conditions, variance request processes, and monitoring and notification requirements. This includes counties like Anchorage, Kenai Peninsula, and Juneau and less populated counties like Denali. The Background Check Program has developed the following guides and forms for the New Alaska Background Check System (NABCS): You may mail fingerprint cards and/or payment to the Background check Program at the following mailing address: Background Check Program 0 A statewide Alaska background check will help you find information from every county in Alaska. You may also request a paper copy of the application from your employer or form the Variance Committee by contacting 907- 334-4475 or BCPVariance@alaska.gov . 34115 Sterling Highway. For example, the Fair Credit Reporting Act . Division of Health Care Services. Applicants can order a background search in Alaska via the following methods: online, in person and by mail. The Background Check Program has developed the following guides and forms for the New Alaska Background Check System (NABCS): You may mail fingerprint cards and/or payment to the Background check Program at the following mailing address: Background Check Program The successful candidate must pass a comprehensive background investigation, which includes a state and FBI fingerprint-based background check. 990. Please note: If you are having difficulties with NABCS, please contact the Background Check Program at 907-334-4475 or BCUnit@alaska.gov. All Background Check Program fees are non-refundable. State of Alaska Background Check Program Variance Transfer Request Revised 10/2018 . Revocation of valid background check or variance. The current statute governing the background checks system used by the Department of Health is AS 47.05.30047.05.390. Note that the online Background Check Program (BCP) is currently limited to individuals and organizations . Please ensure all information is attached. Need assistance making your COVID-19 vaccine appointment? 2060 0 obj <> endobj State Division employees: If you are a State of Alaska employee who has been granted access to NABCS please use https://nabcs.dhss.ak.local. Background Check Program . Alaska Background Check Provider Portal Services to allow whitelisted providers to submit and monitor background check applications for individuals working within their entities. Request for reconsideration of a variance request decision or revocation. If you have any questions regarding this position, please contact Terra Preslan, UA System Office HR Coordinator, at ua-so-hr@alaska.edu or 907-450-8261. Variance TRANSFER Request. Termination of association. The Division Contact List is located both on this website (listed below) and on the NABCS Home screen. There are some specific requirements you have to be able to meet. Hospitals Hospital ASPEN Reg Set Specialized Hospital ASPEN Reg Set Nursing Homes LTC ASPEN Reg Set If you have programmatic questions, such as, who is required to have a background check, or who needs a new provider account, contact your oversight division point of contact. Our state online blanks and complete guidelines remove human-prone faults. . All Background Check Program fees are non-refundable. K Criminal Records & Identification Bureau 5700 East Tudor Rd. Alaska Medicaid State Plan; Alaska CHIP State Plan; Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Health Care Facilities Licensing and Certification. Comply with our simple steps to have your Variance Request Application For Background Check - Alaska . The Criminal Justice Information System Program is comprised of several units that manage various statewide programs including the state's criminal history repository, Automated Biometric Identification System (ABIS), Sex Offender Registry (SOR), Concealed Handgun Permits, Security Guard Licensing, Uniform Crime Reporting (UCR), National Instant Notify you when your loved one is to be discharged to another facility or back home; Provide a demonstration either in person or recorded instruction of the medical tasks, such as medication management, injections or, wound care, and transfers that the family caregiver will perform at home. One critical distinction is between state background checks and federal background checks. endstream endobj startxref There is a set of Conditions, or Requirements for SNFs and NFs, for each type of provider or supplier subject to certification. . hbbd```b``n [0D2d"BI "n$"Al#`3Y30i&"`A$Cdt- 945. Submit your request to: Criminal Records & Identification Bureau Department of Public Safety 5700 E. Tudor Road Anchorage, AK 99507 Or fax it to: 907-269-5091 Once your request is approved, we will assign a client number to your agency and provide you further instructions for obtaining the requested information. Civil Money Penalty (CMP) Funds - Dhss Alaska well prepared rapidly: Pick the web sample from the catalogue. Anchorage, AK 99503. {JI0nZv,"EL inN '9'8 0 u The current statute governing the background checks system used by the Department of Health is AS 47.05.30047.05.390. If you have programmatic questions, such as, who is required to have a background check, or who needs a new provider account, contact your oversight division point of contact. 955. Visit Fresh Start to find a free, flexible program that's right for you. Definitions. Anchor Point DPS. The successful applicants must pass a federal background check in order to qualify for military base access, which is required with this position's work location on base. Email the Webmaster, State of Alaska Department of Public Safety, Alaska Department of Public Safety, Statewide Services, Criminal Records and Identification (R&I) Bureau, Council on Domestic Violence and Sexual Assault, Information for Employers and Licensing Agencies, Statutes Approved by the US Attorney General, Criminal Justice Information from record subject, Criminal Justice Information from other than record subject. hbbd``b`$ $XA A&XgV201rG " y If any section and/or subsection is left blank or any other requested information is not included in the variance request, your request may be denied. Licensing requirements are defined in Alaska statute and regulation. Please note: If you are having difficulties with NABCS, please contact the Background Check Program at 907-334-4475 or BCUnit@alaska.gov. References Contact Us The most convenient option to get a background lookup in AK is to order it via the internet. 4601 Business Park Blvd., Bldg. If you have programmatic questions, such as, who is required to have a background check, or who needs a new provider account, contact your oversight division point of contact. Fingerprinting information: Applicants must submit an FBI FD 258 fingerprint card to the Alaska Division of Insurance for the division to conduct a state and national criminal background check. LTC Facility Inspection Reports. General InformationHomeCOVID-19 UpdatesAbout the UnitCareer OpportunitiesPlan of Correction (ePOC)Life Safety CodeLegislation/Advocacy, Health RegulationsFederal RegulationsState Regulations, Applications & FormsLicensing ApplicationsBackground Check Variance Background checks are required for all individuals associated with the facilities overseen by the Health Facilities Licensing & Certification Program as defined in the Criminal Background Check Regulations below. If you have programmatic questions, such as, who is required to have a background check, or who needs a new provider account, contact your oversight division point of contact. All 263,000 Alaskans who receive Medicaid have been . How Much Does a Background Check Cost in Alaska? General Variance (State)General Waiver (Federal)Complaint Form, Facility Specific InformationAmbulatory Surgical CentersCritical Access HospitalsEnd-Stage Renal DiseaseHome Health AgencyHospitalsHospiceLong Term Care, Questions or Comments?ReferencesContact Us. General Variance (State)General Waiver (Federal)Complaint Form, Facility Specific InformationAmbulatory Surgical CentersCritical Access HospitalsEnd-Stage Renal DiseaseHome Health AgencyHospitalsHospiceLong Term Care, Questions or Comments?ReferencesContact Us. The Alaska Department of Health introduces Fresh Start to connects Alaskans to free programs for better health. State Division employees: If you are a State of Alaska employee who has been granted access to NABCS please use https://nabcs.dhss.ak.local. If you are an employer who has been whitelisted and granted access to NABCS, please use the, Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths, Background check applications MUST be submitted via NABCS; paper applications are no longer accepted, A static IP address is required for NABCS whitelisting, Applicant Initiated applications are no longer accepted; background check applications must be submitted by the individuals prospective employer. 700 0 obj <> endobj 911 0 obj <>stream General InformationHomeCOVID-19 UpdatesAbout the UnitCareer OpportunitiesPlan of Correction (ePOC)Life Safety CodeLegislation/Advocacy, Health RegulationsFederal RegulationsState Regulations, Applications & FormsLicensing ApplicationsBackground Check Variance FAQ - Background - Records and Information - Alaska Department of Public Safety Statewide > Records and Information > Background > FAQ Frequently Asked Questions Below are a number of frequently asked questions regarding criminal histories, criminal records and the Criminal Records and Identification Bureau (R&I). endstream endobj startxref Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths, Life Safety Code (Alaska State Fire Marshal), Alaska State Hospital and Nursing Home Association (ASHNA). A complete application includes a completed application form, payment of applicable fees, and fingerprint card, if applicable. If your application is closed due to being incomplete, you will need to submit a complete new application including applicable fees and fingerprint card. In Alaska, background checks are handled by the Alaska Department of Public Safety (DPS), specifically by the Criminal Records and . The following guide outlines how to run a background check in Alaska swiftly and comprehensively that is legally compliant.. It's important to not that the law in Alaska doesn't limit how far back a background check can go for employment, but it does limit what . hb```b``fa`a`Wcc@ >fV8Ad O|.5[|*s' E=f/*{&a33uRLK[W%B/cku&~0Gl!mI[0jV,Z*l] P:\ ,J7 i bQ Background checks are required for all individuals associated with the facilities overseen by the Health Facilities Licensing & Certification Program as defined in the Criminal Background Check Regulations below. Background checks can vary significantly depending on which state you're in as an employer. 0 The current statute governing the background checks system used by the Department of Health is, The current regulation which provides a common, consistent definition of barrier conditions for all programs, Completed continuation review forms must be submitted to, Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths. %%EOF If you are having any difficulties with NABCS, please contact the BCP at 907-334-4475 or BCUnit@alaska.gov. 159 0 obj <>stream Please remember any fees paid to the Background Check Program are non-refundable. To access this list on NABCS, select the Help link located at the upper right hand corner of your home screen and select the Division Oversight Agency Contact link. Background checks based on positive, fingerprint identification are recommended; name-based searches may miss criminal history reported to the Central Repository under aliases or other names. www.coronavirus.alaska.gov. This list include the reports for State Licensure surveys, Federal Certification surveys, complaint surveys, and Life Safety Code surveys. %PDF-1.6 % The Tags and regulations will show on the "Report of Deficiencies" following a State Licensure survey. FLEXIBLY STAFFED This position is flexibly staffed. No. 2140 0 obj <>stream endstream endobj 2061 0 obj <. General Variance (State)General Waiver (Federal)Complaint Form, Facility Specific InformationAmbulatory Surgical CentersCritical Access HospitalsEnd-Stage Renal DiseaseHome Health AgencyHospitalsHospiceLong Term Care Survey Process Inspection Reports, Questions or Comments?ReferencesContact Us. You may also request a paper copy of the application from your employer or form the Variance Committee by contacting 907- 334-4475 or BCPVariance@alaska.gov . Foster homes must be in compliance with licensing standards, which address home environment, safety, and criminal, Child Protective and Licensing background checks. Remember: Incomplete applications will not be processed. Currently the fee for a name based background check is $20; a fingerprint-based check is $35. Remember: Incomplete applications will not be processed. A request must contain the following: Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths. - Dhss Alaska takes a maximum of 5 minutes. Surveys are conducted for long term care facilities every year on average. References Contact Us All variance request sections and subsections of the Background Check Variance request must be answered and all required information attached. 950. If you are having any difficulties with NABCS, please contact the BCP at 907-334-4475 or BCUnit@alaska.gov. The essence of what the SA certifies to CMS is a finding of whether an institution meets each of the CoPs or substantially meets each requirement for SNFs and NFs applicable to it, and whether each supplier of services meets each CfC applicable to it. How to Get an Alaska Background Check. The current statute governing the background checks system used by the Department of Health is, The current regulation which provides a common, consistent definition of barrier conditions for all programs, Completed continuation review forms must be submitted to, Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths. General InformationHomeCOVID-19 UpdatesAbout the UnitCareer OpportunitiesPlan of Correction (ePOC)Life Safety CodeLegislation/Advocacy, Health RegulationsFederal RegulationsState Regulations, Applications & FormsLicensing ApplicationsBackground Check Variance The Division Contact List is located both on this website (listed below) and on the NABCS Home screen. To access this list on NABCS, select the Help link located at the upper right hand corner of your home screen and select the Division Oversight Agency Contact link. Please remember any fees paid to the Background Check Program are non-refundable. Applications remaining incomplete after 30 days will be closed without further notice. Please find updates at the State of Alaska COVID-19 Information Website. The reporting requirements all come down to the specific legislative regulations that are in place in each state. LB.|pc)z1bXy,:F_4s fb=wg X7*{ d`fx "Y6 )6gaF V,3 4601 Business Park Blvd., Bldg. If your application is closed due to being incomplete, you will need to submit a complete new application including applicable fees and fingerprint card. The documents may also be submitted to the state via mail, email, or fax. Alaska , dunleavy , eligibility , levy , permanent . If you want to apply for a variance online, you can go to the Alaska Background Check Unit. However, this report will not include all of the important information to consider about your applicants. Phone. hb``Pa``Ve``=u1 h@PbPKV1@bZi"Mj We would like to encourage all LTC facilities to review the presentation slides at the 2017 Better Together LTC Conference. Address. Many Condition or Requirement summaries are identical to statements of the statute. If you want to apply for a variance online, you can go to the Alaska Background Check Unit. Contact information is available on the Division Oversight Agency Contact List. October 27, 2023: Background Checks and Background Check Variance; November 24, 2023: To be announced; December 29, 2023: To be announced; . `j|qR@! Ixu.b"*`j`eXbDs$"Y*@$s/ &!iXwH?d_"I\HHm "eu;20120o!(9l'6 B Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths, Alaska Housing Finance Corporation Assistance Provider Interest Rate Reduction Program, Changing the culture of aging in the 21st Century, United States Department of Agriculture ChooseMyPlate.gov. All variance request must be answered and all required information attached Applicants can a. 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