MO SB405

Creates a unified "long-term care provider" definition covering facilities licensed under chapter 198, in-home services providers, nursing agencies, chapter 197 entities, mental health facilities, and adult day-care providers.

Establishes a background screening and employment eligibility determination process for long-term care workers requiring application review, family care safety registry screening, and fingerprint-based criminal background checks within 30 days of hire.

Allows provisional employment after initial screening without disqualifying findings, but terminates upon discovery of disqualifying findings in the fingerprint-based criminal record check or failure to submit within 30 days.

Requires all vendors to implement a telephone tracking system by July 1, 2015, to record service delivery dates, times, and client identity, with pilot projects in urban and rural areas to report outcomes by December 31, 2013.

Expands the Family Care Safety Registry background checks to include national sex offender databases, certified nurse assistant registries, medical/nursing/educator licensure and disciplinary data as of September 30, 2012.