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  1. LII
  2. Electronic Code of Federal Regulations (e-CFR)
  3. Title 42. Public Health
  4. Chapter IV. CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  5. Subchapter C. MEDICAL ASSISTANCE PROGRAMS
  6. Part 455. PROGRAM INTEGRITY: MEDICAID
  7. Subpart A. Medicaid Agency Fraud Detection and Investigation Program

42 CFR Subpart A - Medicaid Agency Fraud Detection and Investigation Program

  • CFR
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  1. § 455.12 State plan requirement.
  2. § 455.13 Methods for identification, investigation, and referral.
  3. § 455.14 Preliminary investigation.
  4. § 455.15 Full investigation.
  5. § 455.16 Resolution of full investigation.
  6. § 455.17 Reporting requirements.
  7. § 455.18 Provider's statements on claims forms.
  8. § 455.19 Provider's statement on check.
  9. § 455.20 Beneficiary verification procedure.
  10. § 455.21 Cooperation with State Medicaid fraud control units.
  11. § 455.23 Suspension of payments in cases of fraud.

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