Nevada FACIS® background checks: Levels 1M & 3 explained
A Nevada-specific breakdown of the FACIS® healthcare exclusion search: what Level 1M covers, what Level 3 adds from Nevada 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 Nevada?
FACIS® Level 1M covers federal exclusion sources — OIG-LEIE, SAM.gov, and OFAC. FACIS® Level 3 adds Nevada sources: the Nevada Medicaid Sanctioned or Excluded Provider List, the Nevada Medicaid Fraud Control Unit, and disciplinary records from the Nevada medical, nursing, and pharmacy boards. Level 3 is the standard for direct-patient-care and licensed roles.
Every Nevada 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 Nevada and which level fits your workforce.
What is a FACIS® background check in Nevada?
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 Nevada candidate, a Level 3 FACIS® search reaches into the Nevada Medicaid Sanctioned or Excluded Provider List, the Nevada Medicaid Fraud Control Unit, and the disciplinary records of every Nevada healthcare licensing board.
Nevada sources included in FACIS® Level 3
- Nevada Medicaid Sanctioned or Excluded Provider List
- Nevada Medicaid Fraud Control Unit enforcement actions
- Nevada Board of Medicine disciplinary actions
- Nevada Board of Nursing disciplinary actions
- Nevada Board of Pharmacy disciplinary actions
- Nevada dental, behavioral health, and allied-health board actions
- Nevada Attorney General healthcare-fraud actions
- Nevada contractor disqualification and debarment lists
Nevada hiring rules that shape a healthcare screening program
FACIS® answers the exclusion question, but a Nevada healthcare hire also runs into state-specific reporting and inquiry rules. Nevada applies FCRA; sealed records under NRS §179.245 must be suppressed.
Criminal-history inquiry timing. State-agency hiring removed the conviction question in 2017. No statewide private rule. That matters for clinical hiring in Nevada 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. AB 132 prohibits an employer from refusing to hire based on a pre-employment cannabis test; safety-sensitive, EMT, firefighter, and driver roles are carved out.
Salary history. Employers may not seek wage-history information; must provide pay range on request after the interview.
Practical note for Nevada providers. AB 132 applies for the first 30 days only; subsequent random testing is unrestricted.
Primary Nevada citations: AB 132 (2019) · SB 293 · NRS §179.245 · Exec. Order 2017-13
Full detail lives in the Nevada 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 Nevada 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 Nevada employers
| Federal exclusion lists | Level 1M ✓ Level 3 ✓ |
| Nevada Medicaid exclusions | Level 1M ✗ Level 3 ✓ |
| NV licensing board disciplinary actions | Level 1M ✗ Level 3 ✓ |
| Nevada AG healthcare-fraud actions | Level 1M ✗ Level 3 ✓ |
Which Nevada employers need Level 3?
If any of the following describe your Nevada organization, Level 3 is the right search. Level 1M is not enough to see NV board sanctions or Nevada Medicaid exclusions:
- Nevada hospitals, health systems, and physician groups
- Skilled nursing, assisted-living, and long-term-care operators in Nevada
- Home health, hospice, and DME suppliers billing Nevada Medicaid
- Behavioral health, telehealth, and substance-use providers licensed in Nevada
- Any employer with clinical staff holding a NV license alongside licenses in other states
How often should Nevada providers re-screen?
The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. Nevada Medicaid enrollment agreements generally impose the same monthly cadence against the Nevada 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 Nevada employers
SafestHires offers FACIS® Level 1M and FACIS® Level 3 as standalone searches or bundled into a Nevada 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 Nevada employers
A single-name FACIS® Level 3 search on a Nevada 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 NV board or Nevada 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 Nevada hire.
Building a complete Nevada healthcare hiring package
FACIS® is the sanction-and-exclusion layer of a healthcare hire, but it is only one component. A complete Nevada clinical hiring package typically pairs FACIS® Level 3 with:
- Primary-source license verification against the Nevada Board of Medicine, Nevada Board of Nursing, and Nevada Board of Pharmacy
- County criminal history for every Nevada county lived or worked in during the FCRA lookback window
- National sex offender registry and Nevada-specific abuse/neglect registry lookups
- Employment and education verification, including internship and residency dates
- Drug screening under Nevada employer policy — 5- or 10-panel lab-based
- Financial Risk Search for Nevada finance, revenue-cycle, and executive roles with fiduciary duties (bankruptcies, judgments, liens from public records)
See Nevada background check laws for the state-level rules that shape package design, and the package builder to assemble a Nevada healthcare package end-to-end.
Frequently asked questions about FACIS® in Nevada
What is the penalty if a Nevada 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 Nevada can pursue additional penalties under state false-claims statutes.
Is a Financial Risk Search recommended for Nevada healthcare hires?
For clinical roles, FACIS® plus primary-source license verification and county criminal history is the compliance-driven baseline. For Nevada 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 Nevada?
No. FACIS® surfaces disciplinary and sanction history, but it does not confirm that a NV license is currently active and in good standing. SafestHires runs primary-source license verification against each Nevada board alongside FACIS® on every clinical hire.