Indiana FACIS® background checks: Levels 1M & 3 explained
A Indiana-specific breakdown of the FACIS® healthcare exclusion search: what Level 1M covers, what Level 3 adds from Indiana boards and Medicaid enforcement, and which level fits which employer.
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Short answer
What is the difference between FACIS® Level 1M and Level 3 in Indiana?
FACIS® Level 1M covers federal exclusion sources — OIG-LEIE, SAM.gov, and OFAC. FACIS® Level 3 adds Indiana sources: the Indiana Medicaid Sanctioned or Excluded Provider List, the Indiana Medicaid Fraud Control Unit, and disciplinary records from the Indiana medical, nursing, and pharmacy boards. Level 3 is the standard for direct-patient-care and licensed roles.
Every Indiana 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 Indiana and which level fits your workforce.
What is a FACIS® background check in Indiana?
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 Indiana candidate, a Level 3 FACIS® search reaches into the Indiana Medicaid Sanctioned or Excluded Provider List, the Indiana Medicaid Fraud Control Unit, and the disciplinary records of every Indiana healthcare licensing board.
Indiana sources included in FACIS® Level 3
- Indiana Medicaid Sanctioned or Excluded Provider List
- Indiana Medicaid Fraud Control Unit enforcement actions
- Indiana Board of Medicine disciplinary actions
- Indiana Board of Nursing disciplinary actions
- Indiana Board of Pharmacy disciplinary actions
- Indiana dental, behavioral health, and allied-health board actions
- Indiana Attorney General healthcare-fraud actions
- Indiana contractor disqualification and debarment lists
Indiana hiring rules that shape a healthcare screening program
FACIS® answers the exclusion question, but a Indiana healthcare hire also runs into state-specific reporting and inquiry rules. IC §24-4-18 generally limits criminal-history reporting on convictions older than seven years; an exception applies for positions paying $75,000+.
Criminal-history inquiry timing. HEA 1033 (2017) preempted local private-employer ordinances; state agencies removed the conviction question by executive order. That matters for clinical hiring in Indiana because a FACIS® hit and a county criminal hit often arrive together, and the order in which you may act on them is set by state law, not by the report.
Drug and cannabis testing. Indiana has not legalized cannabis in any form. Standard testing policies apply.
Salary history. No statewide salary-history ban.
Practical note for Indiana providers. IC §24-4-18 caps non-conviction reporting at seven years for jobs paying under $75,000.
Primary Indiana citations: IC §24-4-18 · HEA 1033 (2017)
Full detail lives in the Indiana background check guide.
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 Indiana 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 Indiana employers
| Federal exclusion lists | Level 1M ✓ Level 3 ✓ |
| Indiana Medicaid exclusions | Level 1M ✗ Level 3 ✓ |
| IN licensing board disciplinary actions | Level 1M ✗ Level 3 ✓ |
| Indiana AG healthcare-fraud actions | Level 1M ✗ Level 3 ✓ |
Which Indiana employers need Level 3?
If any of the following describe your Indiana organization, Level 3 is the right search. Level 1M is not enough to see IN board sanctions or Indiana Medicaid exclusions:
- Indiana hospitals, health systems, and physician groups
- Skilled nursing, assisted-living, and long-term-care operators in Indiana
- Home health, hospice, and DME suppliers billing Indiana Medicaid
- Behavioral health, telehealth, and substance-use providers licensed in Indiana
- Any employer with clinical staff holding a IN license alongside licenses in other states
How often should Indiana providers re-screen?
The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. Indiana Medicaid enrollment agreements generally impose the same monthly cadence against the Indiana 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 Indiana employers
SafestHires offers FACIS® Level 1M and FACIS® Level 3 as standalone searches or bundled into a Indiana 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 Indiana employers
A single-name FACIS® Level 3 search on a Indiana 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 IN board or Indiana 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 Indiana hire.
Building a complete Indiana healthcare hiring package
FACIS® is the sanction-and-exclusion layer of a healthcare hire, but it is only one component. A complete Indiana clinical hiring package typically pairs FACIS® Level 3 with:
- Primary-source license verification against the Indiana Board of Medicine, Indiana Board of Nursing, and Indiana Board of Pharmacy
- County criminal history for every Indiana county lived or worked in during the FCRA lookback window
- National sex offender registry and Indiana-specific abuse/neglect registry lookups
- Employment and education verification, including internship and residency dates
- Drug screening under Indiana employer policy — 5- or 10-panel lab-based
- Financial Risk Search for Indiana finance, revenue-cycle, and executive roles with fiduciary duties (bankruptcies, judgments, liens from public records)
See Indiana background check laws for the state-level rules that shape package design, and the package builder to assemble a Indiana healthcare package end-to-end.
Frequently asked questions about FACIS® in Indiana
What is the penalty if a Indiana 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 Indiana can pursue additional penalties under state false-claims statutes.
Is a Financial Risk Search recommended for Indiana healthcare hires?
For clinical roles, FACIS® plus primary-source license verification and county criminal history is the compliance-driven baseline. For Indiana 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 Indiana?
No. FACIS® surfaces disciplinary and sanction history, but it does not confirm that a IN license is currently active and in good standing. SafestHires runs primary-source license verification against each Indiana board alongside FACIS® on every clinical hire.