Section 172-96-003 - REQUIREMENTS FOR PLACEMENT ON THE MEDICATION AIDE REGISTRY To qualify for placement on the Registry, an applicant must submit a complete application provided by the Department and provide documentation demonstrating that the applicant meets the requirements of Neb. Rev. Stat § 71-6726 and this chapter.
(A) Competency in accordance with 172 Nebraska Administrative Code (NAC) 96-004 during the 6 months preceding the period for which the requested registration will become effective; and(B) Must submit to the Department: (i) Name, address, birth date, social security number;(ii) Identification of any felony or misdemeanor conviction along with date of occurrence and county and state in which the conviction occurred;(iii) Copies of all charges, amended charges, pleas, sentencing and probation orders for convictions;(iv) An explanation of the events leading to the conviction, such as what, when, where, and why, and a summary of actions that the applicant has taken to address the behaviors or actions related to the conviction;(v) A letter from the applicant's probation officer addressing the terms and current status of the probation, if the applicant is currently on probation;(vi) To aid in the evaluation of an applicant's drug or alcohol related convictions, an applicant may submit evaluations and discharge summaries where drug or alcohol treatment was obtained or required. Evaluations and discharge summaries must be submitted by the provider directly to the Department;(vii) All records, documents or information requested by the Department;(viii) An official record documenting demonstration of competency as specified in 172 NAC 95; and(ix) The required non-refundable fee as specified in 172 NAC 96-010.172 Neb. Admin. Code, ch. 96, § 003
Amended effective 9/24/2022