42 C.F.R. § 455.13 Methods for identification, investigation, and referral.
Title 42 - Public Health
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]
Title 42: Public Health
PART 455—PROGRAM INTEGRITY: MEDICAID
Subpart A—Medicaid Agency Fraud Detection and Investigation Program
§ 455.13 Methods for identification, investigation, and referral.
