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New Jersey FACIS background checks: Levels 1M & 3 explained

A New Jersey-specific breakdown of the FACIS healthcare exclusion search: what Level 1M covers, what Level 3 adds from New Jersey boards and Medicaid enforcement, and which level fits which employer.

Every New Jersey 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 Jersey and which level fits your workforce.

What is a FACIS background check in New Jersey?

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 Jersey candidate, a Level 3 FACIS search reaches into the New Jersey Medicaid Sanctioned or Excluded Provider List, the New Jersey Medicaid Fraud Control Unit, and the disciplinary records of every New Jersey healthcare licensing board.

New Jersey sources included in FACIS Level 3

  • New Jersey Medicaid Sanctioned or Excluded Provider List
  • New Jersey Medicaid Fraud Control Unit enforcement actions
  • New Jersey Board of Medicine disciplinary actions
  • New Jersey Board of Nursing disciplinary actions
  • New Jersey Board of Pharmacy disciplinary actions
  • New Jersey dental, behavioral health, and allied-health board actions
  • New Jersey Attorney General healthcare-fraud actions
  • New Jersey 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 Jersey 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 Jersey employers

Federal exclusion listsLevel 1M ✓   Level 3 ✓
New Jersey Medicaid exclusionsLevel 1M ✗   Level 3 ✓
NJ licensing board disciplinary actionsLevel 1M ✗   Level 3 ✓
New Jersey AG healthcare-fraud actionsLevel 1M ✗   Level 3 ✓

Which New Jersey employers need Level 3?

If any of the following describe your New Jersey organization, Level 3 is the right search. Level 1M is not enough to see NJ board sanctions or New Jersey Medicaid exclusions:

  • New Jersey hospitals, health systems, and physician groups
  • Skilled nursing, assisted-living, and long-term-care operators in New Jersey
  • Home health, hospice, and DME suppliers billing New Jersey Medicaid
  • Behavioral health, telehealth, and substance-use providers licensed in New Jersey
  • Any employer with clinical staff holding a NJ license alongside licenses in other states

How often should New Jersey providers re-screen?

The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. New Jersey Medicaid enrollment agreements generally impose the same monthly cadence against the New Jersey 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 Jersey employers

SafestHires offers FACIS Level 1M and FACIS Level 3 as standalone searches or bundled into a New Jersey 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.

Other state FACIS guides

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