Title 42

PART 1007

Part 1007 - State Medicaid Fraud Control Units

PART 1007 - STATE MEDICAID FRAUD CONTROL UNITS Authority:42 U.S.C. 1302, 1396a(a)(61), 1396b(a)(6), 1396b(b)(3), and 1396b(q). Source:84 FR 10713, Mar. 22, 2019, unless otherwise noted.

42:5.0.2.5.8.1SUBPART A
Subpart A - General Provisions and Definitions
42:5.0.2.5.8.1.69.1SECTION 1007.1
   1007.1 Definitions.
42:5.0.2.5.8.1.69.2SECTION 1007.3
   1007.3 Statutory basis and organization of rule.
42:5.0.2.5.8.2SUBPART B
Subpart B - Requirements for Certification
42:5.0.2.5.8.2.69.1SECTION 1007.5
   1007.5 Single, identifiable entity requirements of Unit.
42:5.0.2.5.8.2.69.2SECTION 1007.7
   1007.7 Prosecutorial authority requirements of Unit.
42:5.0.2.5.8.2.69.3SECTION 1007.9
   1007.9 Relationship and agreement between Unit and Medicaid agency.
42:5.0.2.5.8.2.69.4SECTION 1007.11
   1007.11 Duties and responsibilities of Unit.
42:5.0.2.5.8.2.69.5SECTION 1007.13
   1007.13 Staffing requirements of Unit.
42:5.0.2.5.8.2.69.6SECTION 1007.15
   1007.15 Establishment and certification of Unit.
42:5.0.2.5.8.2.69.7SECTION 1007.17
   1007.17 Annual recertification of Unit.
42:5.0.2.5.8.3SUBPART C
Subpart C - Federal Financial Participation (FFP)
42:5.0.2.5.8.3.69.1SECTION 1007.19
   1007.19 FFP rate and eligible FFP costs.
42:5.0.2.5.8.3.69.2SECTION 1007.20
   1007.20 Circumstances of permissible data mining.
42:5.0.2.5.8.3.69.3SECTION 1007.21
   1007.21 Disallowance of claims for FFP.
42:5.0.2.5.8.4SUBPART D
Subpart D - Other Provisions
42:5.0.2.5.8.4.69.1SECTION 1007.23
   1007.23 Other applicable HHS regulations.