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

42 C.F.R. § 455.13

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.

Notes, amendments, and revision history

[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.

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