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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.

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

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 listsLevel 1M ✓   Level 3 ✓
New Hampshire Medicaid exclusionsLevel 1M ✗   Level 3 ✓
NH licensing board disciplinary actionsLevel 1M ✗   Level 3 ✓
New Hampshire AG healthcare-fraud actionsLevel 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.

Other state FACIS guides

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