Title 42

PART 455 SUBPART A

Subpart A - Medicaid Agency Fraud Detection and Investigation Program

42:4.0.1.1.13.1.118.1SECTION 455.12
   455.12 State plan requirement.
42:4.0.1.1.13.1.118.2SECTION 455.13
   455.13 Methods for identification, investigation, and referral.
42:4.0.1.1.13.1.118.3SECTION 455.14
   455.14 Preliminary investigation.
42:4.0.1.1.13.1.118.4SECTION 455.15
   455.15 Full investigation.
42:4.0.1.1.13.1.118.5SECTION 455.16
   455.16 Resolution of full investigation.
42:4.0.1.1.13.1.118.6SECTION 455.17
   455.17 Reporting requirements.
42:4.0.1.1.13.1.118.7SECTION 455.18
   455.18 Provider's statements on claims forms.
42:4.0.1.1.13.1.118.8SECTION 455.19
   455.19 Provider's statement on check.
42:4.0.1.1.13.1.118.9SECTION 455.20
   455.20 Beneficiary verification procedure.
42:4.0.1.1.13.1.118.10SECTION 455.21
   455.21 Cooperation with State Medicaid fraud control units.
42:4.0.1.1.13.1.118.11SECTION 455.23
   455.23 Suspension of payments in cases of fraud.