An initiative that provides states with grants to implement background check programs is off to a slow-moving start, according to a recent report. 

States that received grants through the 4-year-old National Background Check Program for Long Term Care Employees have had varying levels of success, the U.S. Department of Health and Human Services Office of Inspector General said in January.

Of the 25 states that received grants, only six have submitted sufficient data to the Centers for Medicare & Medicaid Services to calculate how effective the checks are at weeding out dubious potential employees. Eight states have submitted insufficient data, while the remaining 11 states have not yet submitted reports.

The program breaks implementation into three milestones, to be reached in any order: obtaining legislative authority to begin a program, collecting fingerprints and continuously monitoring criminal history information.

A report on the progress of the program was included as part of OIG’s Fiscal Year 2016 Work Plan.