§457.930. Full investigation, resolution, and reporting requirements.
42 C.F.R. § 457.930
The State must establish and implement effective procedures for investigating and resolving suspected and apparent instances of fraud and abuse. Once the State determines that a full investigation is warranted, the State must implement procedures including, but not limited to the following:
Cooperate with and refer potential fraud and abuse cases to the State program integrity unit, if such a unit exists.
Conduct a full investigation.
Refer the fraud and abuse case to appropriate law enforcement officials.
Notes, amendments, and revision history
Source
Source: 66 FR 2685, Jan. 11, 2001, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302.
Source
Source: 65 FR 33622, May 24, 2000, unless otherwise noted.