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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter C - Medical Assistance Programs |
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Part 455 - Program Integrity: Medicaid |
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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. |