New Hampshire FACIS® background checks: Levels 1M & 3 explained
A New Hampshire-specific breakdown of the FACIS® healthcare exclusion search: what Level 1M covers, what Level 3 adds from New Hampshire 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 New Hampshire?
FACIS® Level 1M covers federal exclusion sources — OIG-LEIE, SAM.gov, and OFAC. FACIS® Level 3 adds New Hampshire sources: the New Hampshire Medicaid Sanctioned or Excluded Provider List, the New Hampshire Medicaid Fraud Control Unit, and disciplinary records from the New Hampshire medical, nursing, and pharmacy boards. Level 3 is the standard for direct-patient-care and licensed roles.
Every New Hampshire 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 New Hampshire and which level fits your workforce.
What is a FACIS® background check in New Hampshire?
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 New Hampshire candidate, a Level 3 FACIS® search reaches into the New Hampshire Medicaid Sanctioned or Excluded Provider List, the New Hampshire Medicaid Fraud Control Unit, and the disciplinary records of every New Hampshire healthcare licensing board.
New Hampshire sources included in FACIS® Level 3
- New Hampshire Medicaid Sanctioned or Excluded Provider List
- New Hampshire Medicaid Fraud Control Unit enforcement actions
- New Hampshire Board of Medicine disciplinary actions
- New Hampshire Board of Nursing disciplinary actions
- New Hampshire Board of Pharmacy disciplinary actions
- New Hampshire dental, behavioral health, and allied-health board actions
- New Hampshire Attorney General healthcare-fraud actions
- New Hampshire contractor disqualification and debarment lists
New Hampshire hiring rules that shape a healthcare screening program
FACIS® answers the exclusion question, but a New Hampshire healthcare hire also runs into state-specific reporting and inquiry rules. New Hampshire applies FCRA; annulled records under RSA §651:5 must not be disclosed by the candidate.
Criminal-history inquiry timing. Executive Order 2020-07 removed the conviction question from state-agency initial applications. That matters for clinical hiring in New Hampshire 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. RSA §126-X authorizes medical cannabis. No recreational legalization and no off-duty employment protection.
Salary history. No statewide salary-history ban.
Practical note for New Hampshire providers. Annulled records may not be considered or treated as adverse.
Primary New Hampshire citations: RSA §651:5 (annulment) · Exec. Order 2020-07
Full detail lives in the New Hampshire 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 New Hampshire 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 New Hampshire employers
| Federal exclusion lists | Level 1M ✓ Level 3 ✓ |
| New Hampshire Medicaid exclusions | Level 1M ✗ Level 3 ✓ |
| NH licensing board disciplinary actions | Level 1M ✗ Level 3 ✓ |
| New Hampshire AG healthcare-fraud actions | Level 1M ✗ Level 3 ✓ |
Which New Hampshire employers need Level 3?
If any of the following describe your New Hampshire organization, Level 3 is the right search. Level 1M is not enough to see NH board sanctions or New Hampshire Medicaid exclusions:
- New Hampshire hospitals, health systems, and physician groups
- Skilled nursing, assisted-living, and long-term-care operators in New Hampshire
- Home health, hospice, and DME suppliers billing New Hampshire Medicaid
- Behavioral health, telehealth, and substance-use providers licensed in New Hampshire
- Any employer with clinical staff holding a NH license alongside licenses in other states
How often should New Hampshire providers re-screen?
The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. New Hampshire Medicaid enrollment agreements generally impose the same monthly cadence against the New Hampshire 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 New Hampshire employers
SafestHires offers FACIS® Level 1M and FACIS® Level 3 as standalone searches or bundled into a New Hampshire 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 New Hampshire employers
A single-name FACIS® Level 3 search on a New Hampshire 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 NH board or New Hampshire 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 New Hampshire hire.
Building a complete New Hampshire healthcare hiring package
FACIS® is the sanction-and-exclusion layer of a healthcare hire, but it is only one component. A complete New Hampshire clinical hiring package typically pairs FACIS® Level 3 with:
- Primary-source license verification against the New Hampshire Board of Medicine, New Hampshire Board of Nursing, and New Hampshire Board of Pharmacy
- County criminal history for every New Hampshire county lived or worked in during the FCRA lookback window
- National sex offender registry and New Hampshire-specific abuse/neglect registry lookups
- Employment and education verification, including internship and residency dates
- Drug screening under New Hampshire employer policy — 5- or 10-panel lab-based
- Financial Risk Search for New Hampshire finance, revenue-cycle, and executive roles with fiduciary duties (bankruptcies, judgments, liens from public records)
See New Hampshire background check laws for the state-level rules that shape package design, and the package builder to assemble a New Hampshire healthcare package end-to-end.
Frequently asked questions about FACIS® in New Hampshire
What is the penalty if a New Hampshire 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 New Hampshire can pursue additional penalties under state false-claims statutes.
Is a Financial Risk Search recommended for New Hampshire healthcare hires?
For clinical roles, FACIS® plus primary-source license verification and county criminal history is the compliance-driven baseline. For New Hampshire 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 New Hampshire?
No. FACIS® surfaces disciplinary and sanction history, but it does not confirm that a NH license is currently active and in good standing. SafestHires runs primary-source license verification against each New Hampshire board alongside FACIS® on every clinical hire.