42 CFR 455.506 - Activities to be conducted by Medicaid RACs and States.
(a) Medicaid RACs will review claims submitted by providers of items and services or other individuals furnishing items and services for which payment has been made under section 1902(a) of the Act or under any waiver of the State Plan to identify underpayments and overpayments and recoup overpayments for the States.
(d) States must make referrals of suspected fraud and/or abuse, as defined in 42 CFR 455.2, to the MFCU or other appropriate law enforcement agency.
Title 42 published on 2013-10-01
no entries appear in the Federal Register after this date.