42 CFR 455.13 - Methods for identification, investigation, and referral.

Regulations last checked for updates: Oct 17, 2024

Title 42 - Public Health last revised: Oct 15, 2024

§ 455.13 - Methods for identification, investigation, and referral.

The Medicaid agency must have—

(a) Methods and criteria for identifying suspected fraud cases;

(b) Methods for investigating these cases that—

(1) Do not infringe on the legal rights of persons involved; and

(2) Afford due process of law; and

(c) Procedures, developed in cooperation with State legal authorities, for referring suspected fraud cases to law enforcement officials.

[43 FR 45262, Sept. 29, 1978, as amended at 48 FR 3755, Jan. 27, 1983]

authority: 42 U.S.C. 1302.

source: 43 FR 45262, Sept. 29, 1978, unless otherwise noted.

cite as: 42 CFR 455.13