Title 42

PART 455 SUBPART A

Subpart A - Medicaid Agency Fraud Detection and Investigation Program

• 42 U.S.C. 1302.
• 43 FR 45262, Sept. 29, 1978, unless otherwise noted.

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

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