---
kind: "section"
citation: "42 C.F.R. § 455.13"
title: "42"
number: "455.13"
heading: "Methods for identification, investigation, and referral."
url: "https://uscodex.org/cfr/42/455.13"
---

# §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.

## Notes

### Amendments

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

### Authority

Authority: 42 U.S.C. 1302.

### Source

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

### Amendments

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