42 C.F.R. § 455.19 Provider's statement on check.
Title 42 - Public Health
As an alternative to the statements required in §455.18, the agency may print the following wording above the claimant's endorsement on the reverse of checks or warrants payable to each provider: “I understand in endorsing or depositing this check that payment will be from Federal and State funds and that any falsification, or concealment of a material fact, may be prosecuted under Federal and State laws.”
Title 42: Public Health
PART 455—PROGRAM INTEGRITY: MEDICAID
Subpart A—Medicaid Agency Fraud Detection and Investigation Program
§ 455.19 Provider's statement on check.
