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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 D - State Children'S Health Insurance Programs (Schips) |
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Part 457 - Allotments and Grants to States |
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Subpart I - Program Integrity |
| § 457.900 - Basis, scope and applicability. |
| § 457.902 - Definitions |
| § 457.910 - State program administration. |
| § 457.915 - Fraud detection and investigation. |
| § 457.925 - Preliminary investigation. |
| § 457.930 - Full investigation, resolution, and reporting requirements. |
| § 457.935 - Sanctions and related penalties. |
| § 457.940 - Procurement standards. |
| § 457.945 - Certification for contracts and proposals. |
| § 457.950 - Contract and payment requirements including certification of payment-related information. |
| § 457.955 - Conditions necessary to contract as a managed care entity (MCE). |
| § 457.960 - Reporting changes in eligibility and redetermining eligibility. |
| § 457.965 - Documentation. |
| § 457.980 - Verification of enrollment and provider services received. |
| § 457.985 - Integrity of professional advice to enrollees. |
| § 457.990 - Provider and supplier screening, oversight, and reporting requirements. |