Per § 9-302.1 of the Annotated Code of Maryland, license applicants must undergo a criminal history records check in order to be granted a Nursing Home Administrator (NHA) or Assisted Living Manager License by the Board; this also includes Provisional Licenses. The Board may not issue a license if the criminal history record information required under § 9–302.1 has not been received.
You will need these two numbers to proceed with processing your background check:
BLTCA’s Authorization Number: 1600001756
Originating Agency Identifier (ORI) Number : MD920529Z
The Department of Public Safety and Correctional Services website provides a detailed list of processing locations throughout the state at:
http://dpscs.maryland.gov/publicservs/fingerprint.shtml
For your convenience, to access and print out the Criminal History Livescan Pre-Registration Application, click on the following link:
Criminal History Livescan Pre-Registration Application
Important Notice: In addition to completing the Criminal History Livescan Pre-Registration Application, applicants seeking an initial license must review, sign, and submit two additional forms to the Board at the time the initial online application is completed and submitted. The names of these forms, along with their corresponding links, are provided below.
Applicant Record Notification Form
Privacy Act Statement and Noncriminal Justice Applicant's Privacy Rights
If you have any questions or concerns, please contact the Board Office at 410-764-4750 or by email at
[email protected].
Please be advised that Administrator-in-Training and Endorsement applicants must please have your criminal history records check completed by the application deadline that corresponds to your anticipated Credentials Committee Meeting date.
