Every caregiver file, checked for you.

Yes. You start from a ready-made healthcare list and set it to your own state's license and your own policies: limit items to certain roles, change how often anything renews, and add your own. Medicare home health agencies and hospices get the federal aide rules on top, set by your care setting: the RN competency evaluation before the first visit, 12 in-service hours a year and each aide's on-site supervisory visit (42 CFR 484.80 for home health aides, 418.76 for hospice aides): see staff files for Medicare home health and hospice.

No. Each caregiver gets a link to their own page on their phone, with no app and no password. They see what's still needed, take a photo or upload a PDF, and see when each item runs out.

OIG's federal list every month, plus the Medicaid exclusion lists of 25 states automatically, for the states you operate in. For 20 more states and DC, Pact can't read the state's list automatically (Texas, Florida, California, Illinois, Minnesota and others), so the rest are done by a monthly hand-check task in your portal, with the proof saved: you search each one that applies to you on the state's own site. Five states (Oklahoma, South Dakota, Utah, Virginia and Wisconsin) keep no list of their own and use OIG's list, which Pact already checks. A possible match comes to you to confirm.

Pact Compliance Review checks every upload, usually within minutes, 24/7. Pact's own staff check each upload against written criteria, and ask the caregiver for a new copy when one can't be used. You still see everything, and you can change any decision. An automated system reads each upload; a Pact reviewer confirms it. It never approves anything on its own, and background checks, drug screens and test results are never sent to it.

$10 per active staff member a month, with a $250 monthly minimum. The first month is free (no monthly fee for the rest of the month you sign or the next full month), there's no setup fee, and it's month to month. Caregivers who have left aren't billed. Background checks and drug tests you order are billed when ordered.

Pact tracks every check on file with its date. Your state's own required checks (fingerprints, state registries) are done through the state's process; Pact keeps the dated result in each caregiver's file and reminds you when a recheck is due. You can also order a name-based check online (Standard $35, Premium $70). Orders are taken now and start when Pact's Checkr account opens; Checkr then emails the person.

Pick the people and download one packet: a summary page plus every approved file, in one zip file. Every download is logged.

Yes. Once a month, upload the export from Paycom, ADP, Paylocity or any payroll or HR system, as CSV or Excel. Pact shows who's new, who's no longer on payroll and what changed. Nothing changes until you confirm, and nothing is deleted. Caregivers marked as left stop being billed.

Yes. Pact's free in-service courses cover topics like infection control, abuse prevention, dementia care and patient rights, each with a quiz and a printable certificate of completion. They aren't continuing education credit and aren't approved by any state; your agency decides whether they count toward your hours.