42 C.F.R. § 455.13

Current through September 30, 2024

Section 455.13 - Methods for identification, investigation, and referral

The Medicaid agency must have-

(a) Methods and criteria for identifying suspected fraud cases;

(b) Methods for investigating these cases that-

(1) Do not infringe on the legal rights of persons involved; and

(2) Afford due process of law; and

(c) Procedures, developed in cooperation with State legal authorities, for referring suspected fraud cases to law enforcement officials.

42 C.F.R. §455.13

43 FR 45262, Sept. 29, 1978, as amended at 48 FR 3755, Jan. 27, 1983