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Medicaid Agency Fraud Detection and Investigation Program

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Program Integrity: Medicaid
  7. Medicaid Agency Fraud Detection and Investigation Program

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Section
455.12

State plan requirement.

Section
455.13

Methods for identification, investigation, and referral.

Section
455.14

Preliminary investigation.

Section
455.15

Full investigation.

Section
455.16

Resolution of full investigation.

Section
455.17

Reporting requirements.

Section
455.18

Provider's statements on claims forms.

Section
455.19

Provider's statement on check.

Section
455.20

Beneficiary verification procedure.

Section
455.21

Cooperation with State Medicaid fraud control units.

Section
455.23

Suspension of payments in cases of fraud.

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