Subchapter F - PROGRAM INTEGRITY

  1. § 22F .0101 - SCOPE
  2. § 22F .0102 - ORGANIZATION
  3. § 22F .0103 - FUNCTIONS
  4. § 22F .0104 - PREVENTION
  5. § 22F .0105 - REPEALED - DETECTION
  6. § 22F .0106 - CONFIDENTIALITY
  7. § 22F .0107 - RECORD RETENTION
  8. § 22F .0201 - REPEALED - DEFINITION OF PROVIDER FRAUD
  9. § 22F .0202 - INVESTIGATION
  10. § 22F .0203 - REFERRAL TO LAW ENFORCEMENT AGENCY
  11. § 22F .0301 - [See Note]DEFINITION OF PROVIDER ABUSE BY PROVIDERS
  12. § 22F .0301 - [See Note]DEFINITION OF PROVIDER ABUSE BY PROVIDERS, version 2
  13. § 22F .0302 - INVESTIGATION
  14. § 22F .0401 - REPEALED - PURPOSE
  15. § 22F .0402 - RECONSIDERATION REVIEW FOR PROGRAM ABUSE
  16. § 22F .0403 - PROCESS
  17. § 22F .0501 - GENERAL
  18. § 22F .0502 - PEER REVIEW ESTABLISHED
  19. § 22F .0503 - CHOICE OF PROCEDURES
  20. § 22F .0504 - COMPOSITION OF PEER REVIEW BOARD
  21. § 22F .0505 - NOTICE OF PEER REVIEW
  22. § 22F .0506 - VENUE
  23. § 22F .0507 - DOCUMENTATION
  24. § 22F .0508 - PEER REVIEW PROCEDURES
  25. § 22F .0509 - DISQUALIFICATION OF BOARD MEMBERS
  26. § 22F .0510 - FAILURE OF PROVIDER TO ATTEND THE REVIEW
  27. § 22F .0601 - RECOUPMENT
  28. § 22F .0602 - ADMINISTRATIVE ACTIONS
  29. § 22F .0603 - PROVIDER LOCK-OUT
  30. § 22F .0604 - REPEALED - WITHHOLDING OF MEDICAID PAYMENTS
  31. § 22F .0605 - REPEALED - TERMINATION
  32. § 22F .0606 - REPEALED - TECHNIQUE FOR PROJECTING MEDICAID OVERPAYMENTS
  33. § 22F .0701 - DEFINITION OF FRAUD AND ABUSE
  34. § 22F .0702 - GENERAL
  35. § 22F .0703 - WARNING NOTIFICATION
  36. § 22F .0704 - RECIPIENT MANAGEMENT LOCK-IN SYSTEM
  37. § 22F .0705 - OVERUTILIZATION SURVEILLANCE (SUR INDICATOR)
  38. § 22F .0706 - RECOUPMENT OF Recipient OVERPAYMENTS
  39. § 22F .0707 - REPORTS AND REVIEWS

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