N.Y. Comp. Codes R. & Regs. tit. 9 § 9660.1

Current through Register Vol. 46, No. 43, October 23, 2024

Section 9660.1 - Referral of suspected fraud and abuse

Whenever, in the conduct of a review and verification into the eligibility of an applicant or the recertification of a participant, the evaluation of utilization review reports or participant profiles, there is evidence of program fraud or abuse by an applicant or participant, the contractor shall promptly refer the matter to the executive director for review.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 9660.1