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The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Employee Abuse Registry
The Employee Abuse Registry (EAR) is maintained by the New Mexico Health Care Authority to help protect individuals receiving care and services by preventing employment of individuals who have been substantiated for abuse, neglect, or exploitation in a care setting. This page provides an overview of the EAR program, explains how and why individuals are placed on the registry, outlines requirements for health care providers and facilities to check the registry prior to hiring, and offers guidance for individuals and employers on registry searches, hearings, and the petition process for removal.
Health facilities and community based providers must check the Employee Abuse Registry (EAR) prior to hire and avoid employing an individual who has been placed on the registry. All health facilities and community based providers must maintain a printout that verifies the date checked and the employee’s eligibility to hire.
We maintain a database of criminal record information and a registry of all caregivers screened through the New Mexico Health Care Authority. It also offers an administrative reconsideration process that allows caregivers to request a reconsideration of the results of a disqualifying conviction, thus allowing an avenue for care providers to retain valuable and/or long-term employees.
Other program benefits include screening applicants for New Mexico residents who work in health facilities around the state for potential disqualifying convictions, as well as rapback notification to the New Mexico Health Care Authority (HCA) of any new arrests after an application was cleared.
Process to Check the Registry
Only credentialed users may complete a COR registries check as part of the complete CCHSP background check process.
Petition for Removal from the Registry
After a period of three years from the effective date of placement on the registry, an individual on the registry may petition for removal from the registry. The petition shall be sent to the custodian of the registry. For more information see the following documents.
- Employee Abuse Registry Removal Petition Downloadable Form (fill out and mail or email in)
- Employee Abuse Registry (EAR) Removal Petition Form Online (fill out online and submit)
Employee Abuse Registry (EAR) – Frequently Asked Questions
General Information
Q: What is the Employee Abuse Registry (EAR)?
A: The EAR is a statewide registry maintained by the New Mexico Health Care Authority that contains information about individuals who have been substantiated for abuse, neglect, or exploitation of a recipient of care or services while working for a health care provider. It helps protect vulnerable people by preventing individuals with substantiated abuse findings from being hired in direct care roles.
Q: Why does the EAR exist?
A: The EAR supports the Health Care Authority’s “Zero tolerance of abuse, neglect, and exploitation” policy and enhances the overall quality and safety of health care and community-based services in New Mexico. By tracking substantiated incidents and providing a screening tool for employers, it helps reduce risks to patients and clients.
Q: Who is included on the EAR?
A: Individuals are placed on the EAR only after an investigation and determination that a substantiated incident of employee-related abuse, neglect, or exploitation occurred, per the regulatory definitions. There is an opportunity for a hearing before placement.
Q: What does “substantiated” mean?
A: A substantiated finding means that, under the regulatory process, the evidence met the requirements to show that a staff member committed abuse, neglect, or exploitation against a person receiving care or services. If a hearing is requested, an administrative review process occurs before the name goes onto the registry.
For Individuals Listed on the EAR
Q: Why was I placed on the Employee Abuse Registry?
A: Individuals are placed on the EAR only after a complaint referral, investigation, and determination of a substantiated incident of abuse, neglect, or exploitation involving someone receiving care or services in a provider setting. You would have also been notified when the placement occurred.
Q: What if I disagree with my placement?
A: You have the right to request an administrative hearing at the time of notice. If no hearing is requested, or after administrative/district court review, your name may be entered on the registry. Instructions on how to request hearings or review decisions are provided with the placement notice.
Q: How can I petition for removal from the registry?
A: After three years from the effective date of placement on the EAR, individuals may submit a written petition to the custodian of the registry requesting removal. The petition must include specific information such as identifying details, employment history since placement (with dates and employer contacts), evidence of rehabilitation, and other supporting documentation.
Q: When can I petition for removal?
A: You may petition only after 3 years from when your name was added to the EAR. The review period begins once a complete petition (with all required information) is submitted.
Q: Can I continue to work while petitioning for removal?
A: Placement on the EAR prohibits employment in roles covered by the registry requirements. If your petition is accepted and your name is removed, you may seek applicable employment again. Ask HCA for current guidance on employment rights during a petition process.
Q: What if I already completed a fingerprint background check?
A: A fingerprint background check is separate, but the EAR check is required in addition to criminal history screening. Both are part of the full pre-hire screening process for caregivers.
Q: Does being on the EAR affect license-related employment?
A: Licensed professionals and certified nurse aides have separate credentialing requirements. However, the EAR still applies if their employment involves roles covered by the registry screening rules. In those cases, documentation of current licensure or certification is also required.
For Providers and Hiring Facilities
Q: Am I required to check the EAR before hiring someone?
A: Yes. Before hiring or contracting with any employee who will provide direct care services (and who is not a licensed professional or certified nurse aide), providers must check the EAR to determine whether the individual is listed. This check must occur prior to employment or contracting.
Q: Who must check the EAR?
A: All health facilities and community-based providers subject to the rule must conduct an EAR check for applicants or prospective contracted workers in direct care roles (non-licensed/certified nurse aides).
Q: How do I check the EAR?
A: Only credentialed users (e.g., authorized HR or compliance staff) can access and perform the registry search. The check is typically done as part of the background screening process through the HCA/Criminal History Screening Program (CCHSP). Providers must collect identifying details necessary for a thorough search (such as name, date of birth, and Social Security number).
Q: What documentation is required after checking the EAR?
A: Employers must document the inquiry in the employee’s personnel records. Documentation must include evidence of the registry check, including the date of the search and confirmation that the applicant was not listed on the registry at the time of hire.
Q: What if a potential employee is on the EAR?
A: Providers may not hire or contract with an individual whose name appears on the EAR for direct care work. If a potential employee shows up on the registry, you must decline employment and maintain proper documentation.
Q: What are the consequences for a provider who fails to check the EAR?
A: Providers that do not conduct required registry checks or hire someone from the EAR may face sanctions by HCA or other regulatory authorities. This can include corrective actions, civil penalties (up to $5,000 per instance), or impacts on contracts or licensing.
Q: Does being on the EAR affect license-related employment?
A: Licensed professionals and certified nurse aides have separate credentialing requirements. However, the EAR still applies if their employment involves roles covered by the registry screening rules. In those cases, documentation of current licensure or certification is also required.
Employee Abuse Registry Rule
The EAR is established in NMAC 8.370.8. The rule applies to a broad range of New Mexico providers of health care or services and their employees who are not licensed professionals or certified nurse aides.
This rule requires providers to complete a background check of the Employee Abuse Registry prior to hire and avoid employing an individual who has been placed on the registry.
The EAR is an essential piece in the enforcement of the HCA policy of “Zero tolerance of abuse, neglect and exploitation” and in the DHI mission of enhancing the quality of health systems for all New Mexicans.
The EAR maintains a current list of individuals who have a substantiated registry-referred employee Abuse, Neglect or Exploitation case involving a recipient of care or services from a provider.
This rule provides for the investigation and determination of complaints alleging abuse, neglect or exploitation of recipients of care or services by employees. This rule further requires listing employees with substantiated registry-referred abuse, neglect or exploitation on the registry, following an opportunity for a hearing.
NMAC 8.370.8 supplements other pre-employment screening requirements currently applicable to health care providers, such as the requirement for criminal history screening of caregivers employed by care providers subject to the Caregiver Criminal History Screening Act, NMSA 1978 Sections 29-17-1 et seq. and that Act’s implementing rule, NMAC 8.370.5. It also supplements requirements for pre-employment screening of certified nurse aides applicable to nursing facilities pursuant to 42 CFR Sections 483.75(e) and 488.335; and NMAC 8.370.25. This rule does not address the consequences of abuse, neglect, or exploitation for which a provider, as distinguished from an employee, is responsible.
For questions related to the petition process, please email The EAR manager (DHI.EmployeeAbuseRegistry@hca.nm.gov) or call at 505-476-9012.

