Alabama Home Health Survey Prep Checklist
Your survey could come any day. This is exactly what Alabama Department of Public Health (ADPH) surveyors pull from your files — and how to walk in already audit-ready. Free, no signup required.
40 hrs
Initial Training
12 hrs
Annual Training
Every 60 days
Supervision
Not Required
Fingerprints
What Surveyors Pull From Every Employee File
Have these ready, current, and signed for every staff member before your survey:
- Signed job description matching the role and assigned duties
- Completed application and verified employment history / references
- I-9 employment eligibility verification with supporting documents
- W-4 and signed payroll / direct-deposit authorization
- Government-issued photo ID and Social Security / ITIN record
- Current professional license or certification copy (RN, LPN, CNA, HHA, etc.)
- Signed HIPAA, employee handbook, and policy acknowledgments
- Documented orientation and annual in-service / competency evaluation
See the full breakdown in our guide: What Surveyors Check in Personnel Files.
Alabama Background & Exclusion Screening
Required checks for every staff member (Ala. Code § 38-13-3):
- Alabama State Criminal Background CheckRequired
- Alabama Sex Offender RegistryRequired
- OIG Exclusion ListRequired
Don't forget monthly OIG/SAM screening. Medicare/Medicaid agencies must re-check all staff against the federal exclusion lists every month — surveyors ask for the dated screening logs.
Abuse registry: Check the Alabama Department of Human Resources Registry for all staff.
Training, Competency & Supervision Records
- 40 hours of documented initial training per staff member (Federal Medicare CoPs).
- 12 hours of annual continuing education, with dated completion records.
- Supervisory visit notes documented every 60 days (Federal Medicare CoPs).
- Signed competency evaluations for each aide/attendant role.
Alabama Survey Prep FAQ
What do surveyors check in Alabama home health personnel files?
Surveyors review each employee file for identifying information, a signed job description, verified employment history, license and certification copies, background-check and exclusion-screening results, training and competency documentation, and signed policy acknowledgments. Missing or expired items are among the most common citations.
How often do I need to re-screen staff against the OIG exclusion list in Alabama?
Medicare/Medicaid-participating agencies should screen all staff against the OIG LEIE and SAM.gov exclusion lists monthly, per OIG Special Advisory Bulletin guidance. Alabama also requires Alabama State Criminal Background Check, Alabama Sex Offender Registry, OIG Exclusion List.
How many training hours does Alabama require?
Alabama requires 40 initial training hours and 12 annual continuing-education hours (Federal Medicare CoPs). Supervisory visits are required every 60 days.
Find Your Alabama Survey Gaps in 15 Minutes
Free assessment covering every ADPH requirement on this checklist. No payment required.
Take Your Free Alabama Compliance Snapshot