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  1. Regulations
    All Titles
  2. title 42
    Public Health
  3. chapter IV-i2
    CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
  4. part 455
    PART 455—PROGRAM INTEGRITY: MEDICAID
  5. subpart A
    Subpart A—Medicaid Agency Fraud Detection and Investigation Program

Subpart A. Subpart A—Medicaid Agency Fraud Detection and Investigation Program

  • § 455.12 - State plan requirement.
  • § 455.13 - Methods for identification, investigation, and referral.
  • § 455.14 - Preliminary investigation.
  • § 455.15 - Full investigation.
  • § 455.16 - Resolution of full investigation.
  • § 455.17 - Reporting requirements.
  • § 455.18 - Provider's statements on claims forms.
  • § 455.19 - Provider's statement on check.
  • § 455.20 - Beneficiary verification procedure.
  • § 455.21 - Cooperation with State Medicaid fraud control units.
  • § 455.23 - Suspension of payments in cases of fraud.
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