Alabama FACIS background checks: Levels 1M & 3 explained
A Alabama-specific breakdown of the FACIS healthcare exclusion search: what Level 1M covers, what Level 3 adds from Alabama boards and Medicaid enforcement, and which level fits which employer.
Every Alabama organization that bills a federally funded healthcare program — Medicare, Medicaid, TRICARE, or a state Medicaid managed-care plan — is required to verify that its employees, contractors, and vendors are not excluded from participation. FACIS is the standard tool for that verification. This guide covers what a FACIS search returns in Alabama and which level fits your workforce.
What is a FACIS background check in Alabama?
FACIS (Fraud and Abuse Control Information System) is a healthcare-specific sanction database that aggregates federal exclusion and debarment records with state licensing, Medicaid, and Attorney General enforcement data. Run against a Alabama candidate, a Level 3 FACIS search reaches into the Alabama Medicaid Sanctioned or Excluded Provider List, the Alabama Medicaid Fraud Control Unit, and the disciplinary records of every Alabama healthcare licensing board.
Alabama sources included in FACIS Level 3
- Alabama Medicaid Sanctioned or Excluded Provider List
- Alabama Medicaid Fraud Control Unit enforcement actions
- Alabama Board of Medicine disciplinary actions
- Alabama Board of Nursing disciplinary actions
- Alabama Board of Pharmacy disciplinary actions
- Alabama dental, behavioral health, and allied-health board actions
- Alabama Attorney General healthcare-fraud actions
- Alabama contractor disqualification and debarment lists
Federal sources included in every FACIS search
Both Level 1M and Level 3 include the federal exclusion sources that satisfy OIG and CMS baseline requirements for Alabama providers:
- OIG List of Excluded Individuals and Entities (LEIE)
- System for Award Management (SAM), including SDN
- OFAC Specially Designated Nationals list
- FDA Debarment List
- DEA administrative actions
- GSA excluded parties
- TRICARE excluded providers
- U.S. Department of Justice, Treasury, and State healthcare-fraud actions
FACIS Level 1M vs. Level 3 for Alabama employers
| Federal exclusion lists | Level 1M ✓ Level 3 ✓ |
| Alabama Medicaid exclusions | Level 1M ✗ Level 3 ✓ |
| AL licensing board disciplinary actions | Level 1M ✗ Level 3 ✓ |
| Alabama AG healthcare-fraud actions | Level 1M ✗ Level 3 ✓ |
Which Alabama employers need Level 3?
If any of the following describe your Alabama organization, Level 3 is the right search. Level 1M is not enough to see AL board sanctions or Alabama Medicaid exclusions:
- Alabama hospitals, health systems, and physician groups
- Skilled nursing, assisted-living, and long-term-care operators in Alabama
- Home health, hospice, and DME suppliers billing Alabama Medicaid
- Behavioral health, telehealth, and substance-use providers licensed in Alabama
- Any employer with clinical staff holding a AL license alongside licenses in other states
How often should Alabama providers re-screen?
The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. Alabama Medicaid enrollment agreements generally impose the same monthly cadence against the Alabama Medicaid Sanctioned or Excluded Provider List. A pre-hire FACIS check is the starting point; continuous monthly monitoring is what catches sanctions that land after the hire date.
How SafestHires runs FACIS for Alabama employers
SafestHires offers FACIS Level 1M and FACIS Level 3 as standalone searches or bundled into a Alabama healthcare hiring package alongside primary-source license verification, sex-offender registry checks, and county criminal history. Ongoing monthly monitoring is available for the entire workforce from the same dashboard.
FACIS turnaround time for Alabama employers
A single-name FACIS Level 3 search on a Alabama candidate typically returns in minutes because most sources are queried via live API. Manual review kicks in only when the search returns a potential match that needs AL board or Alabama Medicaid-exclusion identifier confirmation before it can be reported. See the SafestHires turnaround guide for a full breakdown of what drives timing across all searches in a Alabama hire.
Building a complete Alabama healthcare hiring package
FACIS is the sanction-and-exclusion layer of a healthcare hire, but it is only one component. A complete Alabama clinical hiring package typically pairs FACIS Level 3 with:
- Primary-source license verification against the Alabama Board of Medicine, Alabama Board of Nursing, and Alabama Board of Pharmacy
- County criminal history for every Alabama county lived or worked in during the FCRA lookback window
- National sex offender registry and Alabama-specific abuse/neglect registry lookups
- Employment and education verification, including internship and residency dates
- Drug screening under Alabama employer policy — 5- or 10-panel lab-based
- Financial Risk Search for Alabama finance, revenue-cycle, and executive roles with fiduciary duties (bankruptcies, judgments, liens from public records)
See Alabama background check laws for the state-level rules that shape package design, and the package builder to assemble a Alabama healthcare package end-to-end.
Frequently asked questions about FACIS in Alabama
What is the penalty if a Alabama employer bills for services from an excluded provider?
Under 42 U.S.C. §1320a-7a, civil monetary penalties can reach up to $21,000 per item or service claimed, plus treble damages, plus repayment of every dollar that touched the excluded person's work. State Medicaid Fraud Control Units in Alabama can pursue additional penalties under state false-claims statutes.
Is a Financial Risk Search recommended for Alabama healthcare hires?
For clinical roles, FACIS plus primary-source license verification and county criminal history is the compliance-driven baseline. For Alabama healthcare finance, revenue-cycle, and executive roles with fiduciary responsibility, the SafestHires Financial Risk Search — bankruptcies, civil judgments, and tax liens from public records — is a common add-on to surface public financial-risk indicators before hire.
Does FACIS replace primary-source license verification in Alabama?
No. FACIS surfaces disciplinary and sanction history, but it does not confirm that a AL license is currently active and in good standing. SafestHires runs primary-source license verification against each Alabama board alongside FACIS on every clinical hire.