Washington FACIS background checks: Levels 1M & 3 explained
A Washington-specific breakdown of the FACIS healthcare exclusion search: what Level 1M covers, what Level 3 adds from Washington boards and Medicaid enforcement, and which level fits which employer.
Every Washington 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 Washington and which level fits your workforce.
What is a FACIS background check in Washington?
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 Washington candidate, a Level 3 FACIS search reaches into the Washington Medicaid Sanctioned or Excluded Provider List, the Washington Medicaid Fraud Control Unit, and the disciplinary records of every Washington healthcare licensing board.
Washington sources included in FACIS Level 3
- Washington Medicaid Sanctioned or Excluded Provider List
- Washington Medicaid Fraud Control Unit enforcement actions
- Washington Board of Medicine disciplinary actions
- Washington Board of Nursing disciplinary actions
- Washington Board of Pharmacy disciplinary actions
- Washington dental, behavioral health, and allied-health board actions
- Washington Attorney General healthcare-fraud actions
- Washington 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 Washington 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 Washington employers
| Federal exclusion lists | Level 1M ✓ Level 3 ✓ |
| Washington Medicaid exclusions | Level 1M ✗ Level 3 ✓ |
| WA licensing board disciplinary actions | Level 1M ✗ Level 3 ✓ |
| Washington AG healthcare-fraud actions | Level 1M ✗ Level 3 ✓ |
Which Washington employers need Level 3?
If any of the following describe your Washington organization, Level 3 is the right search. Level 1M is not enough to see WA board sanctions or Washington Medicaid exclusions:
- Washington hospitals, health systems, and physician groups
- Skilled nursing, assisted-living, and long-term-care operators in Washington
- Home health, hospice, and DME suppliers billing Washington Medicaid
- Behavioral health, telehealth, and substance-use providers licensed in Washington
- Any employer with clinical staff holding a WA license alongside licenses in other states
How often should Washington providers re-screen?
The OIG Special Advisory Bulletin recommends monthly re-screening against the LEIE. Washington Medicaid enrollment agreements generally impose the same monthly cadence against the Washington 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 Washington employers
SafestHires offers FACIS Level 1M and FACIS Level 3 as standalone searches or bundled into a Washington 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.